Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.91 / $33.77 / $160.85	Professional		$26.91	$33.77	$160.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.76 / $67.92 / $90.89	Professional		$47.76	$67.92	$90.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $28.64 / $46.96 / $217.82	Professional		$28.64	$46.96	$217.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.14 / $67.92 / $361.00	Professional		$31.14	$67.92	$361.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $44.68 / $67.92 / $86.64	Professional		$44.68	$67.92	$86.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.38 / $29.04 / $56.75	Professional		$12.38	$29.04	$56.75
United Facility/Professional Professional Modifier Low / Median / High Price $29.16 / $50.53 / $80.40	Professional		$29.16	$50.53	$80.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $50.09 / $63.40 / $74.59	Professional		$50.09	$63.40	$74.59