Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.10 / $43.09 / $62.55	Professional		$35.10	$43.09	$62.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.35 / $69.86 / $106.25	Professional		$31.35	$69.86	$106.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $31.94 / $41.67 / $67.87	Professional		$31.94	$41.67	$67.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.92 / $67.55 / $141.32	Professional		$40.92	$67.55	$141.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $57.00 / $86.66 / $109.70	Professional		$57.00	$86.66	$109.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $30.35 / $54.17 / $78.81	Professional		$30.35	$54.17	$78.81
United Facility/Professional Professional Modifier Low / Median / High Price $40.49 / $57.64 / $103.12	Professional		$40.49	$57.64	$103.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $49.70 / $62.40 / $74.90	Professional		$49.70	$62.40	$74.90