Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.09 / $34.36 / $45.24	Professional		$30.09	$34.36	$45.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.06 / $80.48 / $132.12	Professional		$36.06	$80.48	$132.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $30.07 / $43.43 / $126.19	Professional		$30.07	$43.43	$126.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.04 / $75.37 / $211.74	Professional		$42.04	$75.37	$211.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $50.60 / $69.16 / $87.67	Professional		$50.60	$69.16	$87.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.03 / $49.39 / $61.51	Professional		$28.03	$49.39	$61.51
United Facility/Professional Professional Modifier Low / Median / High Price $37.19 / $67.91 / $105.08	Professional		$37.19	$67.91	$105.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $43.45 / $55.00 / $64.70	Professional		$43.45	$55.00	$64.70