Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.51 / $25.47 / $159.01	Professional		$17.51	$25.47	$159.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.22 / $45.44 / $57.95	Professional		$23.22	$45.44	$57.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.51 / $27.94 / $121.41	Professional		$18.51	$27.94	$121.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.95 / $52.86 / $167.01	Professional		$32.95	$52.86	$167.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $38.78 / $52.31 / $64.81	Professional		$38.78	$52.31	$64.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.50 / $28.50 / $51.00	Professional		$28.50	$28.50	$51.00
United Facility/Professional Professional Modifier Low / Median / High Price $29.50 / $45.20 / $72.95	Professional		$29.50	$45.20	$72.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $31.36 / $39.70 / $46.70	Professional		$31.36	$39.70	$46.70