Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.22 / $25.29 / $133.81	Professional		$21.22	$25.29	$133.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.22 / $53.74 / $90.08	Professional		$25.22	$53.74	$90.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $22.38 / $33.22 / $89.65	Professional		$22.38	$33.22	$89.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.26 / $47.60 / $168.93	Professional		$25.26	$47.60	$168.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $48.39 / $59.34	Professional		$36.00	$48.39	$59.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $34.50 / $49.90 / $68.70	Professional		$34.50	$49.90	$68.70
United Facility/Professional Professional Modifier Low / Median / High Price $24.82 / $36.10 / $59.71	Professional		$24.82	$36.10	$59.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $37.84 / $47.90 / $56.40	Professional		$37.84	$47.90	$56.40