Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.35 / $6.96 / $32.00	Professional		$5.35	$6.96	$32.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.07 / $14.27 / $18.89	Professional		$12.07	$14.27	$18.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.69 / $8.85 / $60.67	Professional		$5.69	$8.85	$60.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.57 / $10.89 / $50.15	Professional		$5.57	$10.89	$50.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $7.88 / $11.75 / $14.74	Professional		$7.88	$11.75	$14.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $10.28 / $13.82	Professional		$6.05	$10.28	$13.82
United Facility/Professional Professional Modifier Low / Median / High Price $5.31 / $7.59 / $14.37	Professional		$5.31	$7.59	$14.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.51 / $13.30 / $15.70	Professional		$10.51	$13.30	$15.70