Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $33.11 / $63.10	Professional		$28.84	$33.11	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $67.61 / $93.33	Professional		$43.65	$67.61	$93.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $46.77 / $144.54	Professional		$30.20	$46.77	$144.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $72.44 / $213.80	Professional		$41.69	$72.44	$213.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $81.28 / $91.20	Professional		$64.57	$81.28	$91.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $67.61 / $87.10	Professional		$63.10	$67.61	$87.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $50.12 / $69.18	Professional		$27.54	$50.12	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $56.23 / $91.20	Professional		$34.67	$56.23	$91.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $64.57	Professional		$54.95	$54.95	$64.57