Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.42 / $25.82 / $142.47	Professional		$19.42	$25.82	$142.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.14 / $59.10 / $75.37	Professional		$40.14	$59.10	$75.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.18 / $35.65 / $104.77	Professional		$23.18	$35.65	$104.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.93 / $55.30 / $240.24	Professional		$29.93	$55.30	$240.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $35.03 / $55.30 / $73.76	Professional		$35.03	$55.30	$73.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $44.90 / $44.90 / $44.90	Professional		$44.90	$44.90	$44.90
United Facility/Professional Professional Modifier Low / Median / High Price $26.46 / $47.27 / $64.69	Professional		$26.46	$47.27	$64.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $41.63 / $52.70 / $62.00	Professional		$41.63	$52.70	$62.00