Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $28.18 / $144.54	Professional		$20.89	$28.18	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $53.70 / $67.61	Professional		$44.67	$53.70	$67.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $38.90 / $72.44	Professional		$22.91	$38.90	$72.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $44.67 / $436.52	Professional		$23.99	$44.67	$436.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $74.13	Professional		$67.61	$67.61	$74.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $74.13	Professional		$67.61	$67.61	$74.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $39.81 / $52.48	Professional		$22.39	$39.81	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $37.15 / $63.10	Professional		$23.99	$37.15	$63.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $46.77 / $54.95	Professional		$37.15	$46.77	$54.95