Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.51 / $29.73 / $151.66	Professional		$20.51	$29.73	$151.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.82 / $51.78 / $75.45	Professional		$43.82	$51.78	$75.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $34.22 / $346.96	Professional		$20.14	$34.22	$346.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.70 / $51.25 / $205.90	Professional		$27.70	$51.25	$205.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $34.59 / $54.76 / $65.40	Professional		$34.59	$54.76	$65.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $44.30 / $44.30 / $44.30	Professional		$44.30	$44.30	$44.30
United Facility/Professional Professional Modifier Low / Median / High Price $23.89 / $43.21 / $74.45	Professional		$23.89	$43.21	$74.45
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $35.86 / $45.40 / $53.40	Professional		$35.86	$45.40	$53.40