Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.63 / $27.63 / $40.01	Professional		$24.63	$27.63	$40.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.63 / $48.78 / $73.69	Professional		$22.63	$48.78	$73.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $22.33 / $29.31 / $47.64	Professional		$22.33	$29.31	$47.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.73 / $34.72 / $73.69	Professional		$20.73	$34.72	$73.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $31.15 / $55.16 / $73.69	Professional		$31.15	$55.16	$73.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.25 / $50.43 / $57.78	Professional		$28.25	$50.43	$57.78
United Facility/Professional Professional Modifier Low / Median / High Price $20.77 / $32.92 / $56.81	Professional		$20.77	$32.92	$56.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $42.58 / $53.90 / $56.10	Professional		$42.58	$53.90	$56.10