Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $25.12 / $52.48	Professional		$16.98	$25.12	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $45.71 / $57.54	Professional		$22.91	$45.71	$57.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $30.90 / $125.89	Professional		$19.05	$30.90	$125.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $52.48 / $165.96	Professional		$30.20	$52.48	$165.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $57.54 / $61.66	Professional		$48.98	$57.54	$61.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $57.54 / $63.10	Professional		$51.29	$57.54	$63.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Professional		$51.29	$51.29	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $45.71 / $72.44	Professional		$28.84	$45.71	$72.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $39.81 / $46.77	Professional		$31.62	$39.81	$46.77