Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.42 / $31.08 / $142.47	Professional		$19.42	$31.08	$142.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.48 / $53.10 / $67.25	Professional		$42.48	$53.10	$67.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $22.80 / $33.82 / $71.91	Professional		$22.80	$33.82	$71.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $45.47 / $440.00	Professional		$26.51	$45.47	$440.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $29.54 / $45.45 / $61.33	Professional		$29.54	$45.45	$61.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $21.83 / $39.72 / $48.00	Professional		$21.83	$39.72	$48.00
United Facility/Professional Professional Modifier Low / Median / High Price $26.46 / $38.47 / $63.65	Professional		$26.46	$38.47	$63.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $36.89 / $46.70 / $54.90	Professional		$36.89	$46.70	$54.90