Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $28.18 / $38.90	Professional		$20.89	$28.18	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $44.67 / $72.44	Professional		$22.39	$44.67	$72.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $29.51 / $50.12	Professional		$22.39	$29.51	$50.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $34.67 / $75.86	Professional		$19.95	$34.67	$75.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $56.23 / $79.43	Professional		$32.36	$56.23	$79.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $51.29 / $67.61	Professional		$28.84	$51.29	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $31.62 / $56.23	Professional		$19.95	$31.62	$56.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $53.70 / $58.88	Professional		$42.66	$53.70	$58.88