Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.31 / $36.35 / $155.13	Professional		$23.31	$36.35	$155.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.93 / $80.01 / $102.94	Professional		$31.93	$80.01	$102.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.17 / $44.01 / $108.62	Professional		$27.17	$44.01	$108.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.40 / $50.44 / $224.54	Professional		$25.40	$50.44	$224.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $57.20 / $89.16	Professional		$31.00	$57.20	$89.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $31.30 / $52.70 / $96.70	Professional		$31.30	$52.70	$96.70
United Facility/Professional Professional Modifier Low / Median / High Price $23.17 / $41.87 / $70.40	Professional		$23.17	$41.87	$70.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $57.75 / $73.09 / $86.00	Professional		$57.75	$73.09	$86.00