Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.51 / $36.03 / $138.59	Professional		$20.51	$36.03	$138.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.97 / $50.58 / $71.16	Professional		$33.97	$50.58	$71.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.03 / $24.89 / $110.00	Professional		$17.03	$24.89	$110.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.94 / $52.74 / $324.60	Professional		$29.94	$52.74	$324.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $37.59 / $50.28 / $71.16	Professional		$37.59	$50.28	$71.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $18.10 / $32.84 / $52.76	Professional		$18.10	$32.84	$52.76
United Facility/Professional Professional Modifier Low / Median / High Price $25.73 / $43.43 / $63.62	Professional		$25.73	$43.43	$63.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $31.60 / $40.00 / $47.10	Professional		$31.60	$40.00	$47.10