Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.98 / $21.71 / $55.20	Professional		$11.98	$21.71	$55.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $27.16 / $38.27	Professional		$17.78	$27.16	$38.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.21 / $15.20 / $62.54	Professional		$11.21	$15.20	$62.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.02 / $28.28 / $90.53	Professional		$16.02	$28.28	$90.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $22.77 / $32.43 / $40.06	Professional		$22.77	$32.43	$40.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.48 / $18.30 / $21.87	Professional		$10.48	$18.30	$21.87
United Facility/Professional Professional Modifier Low / Median / High Price $15.29 / $21.50 / $41.24	Professional		$15.29	$21.50	$41.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $18.48 / $23.40 / $27.50	Professional		$18.48	$23.40	$27.50