Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.23 / $18.27 / $85.95	Professional		$14.23	$18.27	$85.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.39 / $35.90 / $44.74	Professional		$24.39	$35.90	$44.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.12 / $22.10 / $120.54	Professional		$16.12	$22.10	$120.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $32.72 / $100.30	Professional		$16.80	$32.72	$100.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $25.84 / $34.59 / $42.80	Professional		$25.84	$34.59	$42.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.77 / $14.87 / $29.67	Professional		$7.77	$14.87	$29.67
United Facility/Professional Professional Modifier Low / Median / High Price $16.04 / $25.64 / $43.40	Professional		$16.04	$25.64	$43.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $25.83 / $32.70 / $38.50	Professional		$25.83	$32.70	$38.50