Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.20 / $53.79 / $249.25	Professional		$33.20	$53.79	$249.25
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $15.00 / $20.91 / $98.36	Professional	52	$15.00	$20.91	$98.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.69 / $84.55 / $114.81	Professional		$66.69	$84.55	$114.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $31.78 / $49.95 / $308.22	Professional		$31.78	$49.95	$308.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.53 / $82.88 / $542.50	Professional		$36.53	$82.88	$542.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $54.48 / $83.17 / $121.91	Professional		$54.48	$83.17	$121.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $30.54 / $54.03 / $64.12	Professional		$30.54	$54.03	$64.12
United Facility/Professional Professional Modifier Low / Median / High Price $34.86 / $60.62 / $102.94	Professional		$34.86	$60.62	$102.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $54.27 / $68.70 / $80.90	Professional		$54.27	$68.70	$80.90