Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $39.81 / $138.04	Professional		$19.95	$39.81	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $48.98 / $70.79	Professional		$35.48	$48.98	$70.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $26.92 / $151.36	Professional		$17.78	$26.92	$151.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $51.29 / $323.59	Professional		$30.20	$51.29	$323.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $58.88 / $81.28	Professional		$47.86	$58.88	$81.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $67.61	Professional		$50.12	$50.12	$67.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $51.29 / $69.18	Professional		$29.51	$51.29	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $46.77 / $69.18	Professional		$25.70	$46.77	$69.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $39.81 / $46.77	Professional		$31.62	$39.81	$46.77