Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.27 / $56.28 / $155.00	Professional		$17.27	$56.28	$155.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $8.40 / $10.65 / $69.30	Professional	52	$8.40	$10.65	$69.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.29 / $47.21 / $74.04	Professional		$34.29	$47.21	$74.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.96 / $27.29 / $158.97	Professional		$15.96	$27.29	$158.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.73 / $50.98 / $305.91	Professional		$25.73	$50.98	$305.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $33.60 / $48.33 / $70.00	Professional		$33.60	$48.33	$70.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $28.70 / $33.50	Professional		$16.07	$28.70	$33.50
United Facility/Professional Professional Modifier Low / Median / High Price $24.09 / $42.00 / $66.43	Professional		$24.09	$42.00	$66.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $28.44 / $36.00 / $42.40	Professional		$28.44	$36.00	$42.40