Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $18.20 / $40.74	Professional		$14.13	$18.20	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $34.67 / $44.67	Professional		$23.99	$34.67	$44.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $23.44 / $120.23	Professional		$16.22	$23.44	$120.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $30.90 / $100.00	Professional		$16.98	$30.90	$100.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $36.31 / $44.67	Professional		$16.60	$36.31	$44.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $42.66	Professional		$34.67	$34.67	$42.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $16.98 / $34.67	Professional		$8.32	$16.98	$34.67
United Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $23.99 / $43.65	Professional		$16.22	$23.99	$43.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $32.36 / $38.90	Professional		$25.70	$32.36	$38.90