Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.26 / $36.60 / $52.98	Professional		$32.26	$36.60	$52.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.82 / $62.85 / $101.59	Professional		$28.82	$62.85	$101.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $29.33 / $40.88 / $81.99	Professional		$29.33	$40.88	$81.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $46.01 / $101.59	Professional		$25.77	$46.01	$101.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $39.00 / $69.68 / $101.59	Professional		$39.00	$69.68	$101.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $39.39 / $70.31 / $82.59	Professional		$39.39	$70.31	$82.59
United Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $45.17 / $76.05	Professional		$25.77	$45.17	$76.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $60.99 / $77.20 / $80.20	Professional		$60.99	$77.20	$80.20