Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.26 / $43.41 / $62.82	Professional		$32.26	$43.41	$62.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.84 / $74.90 / $124.91	Professional		$12.84	$74.90	$124.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.34 / $48.52 / $122.99	Professional		$8.34	$48.52	$122.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.39 / $43.15 / $95.65	Professional		$19.39	$43.15	$95.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $12.84 / $75.18 / $124.91	Professional		$12.84	$75.18	$124.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $51.06 / $91.14 / $110.80	Professional		$51.06	$91.14	$110.80
United Facility/Professional Professional Modifier Low / Median / High Price $26.81 / $43.15 / $72.66	Professional		$26.81	$43.15	$72.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $76.63 / $97.00 / $100.90	Professional		$76.63	$97.00	$100.90