Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.67 / $17.19 / $72.00	Professional		$11.67	$17.19	$72.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.67 / $28.88 / $34.97	Professional		$19.67	$28.88	$34.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.03 / $19.42 / $51.34	Professional		$12.03	$19.42	$51.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.13 / $26.00 / $144.00	Professional		$13.13	$26.00	$144.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $18.57 / $26.66 / $33.61	Professional		$18.57	$26.66	$33.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.16 / $13.69 / $26.04	Professional		$7.16	$13.69	$26.04
United Facility/Professional Professional Modifier Low / Median / High Price $12.54 / $18.55 / $33.82	Professional		$12.54	$18.55	$33.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $21.09 / $26.70 / $31.40	Professional		$21.09	$26.70	$31.40