Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.37 / $47.43 / $172.00	Professional		$31.37	$47.43	$172.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $76.06 / $95.09	Professional		$34.72	$76.06	$95.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $31.42 / $54.42 / $102.59	Professional		$31.42	$54.42	$102.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $62.64 / $314.92	Professional		$32.36	$62.64	$314.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $51.07 / $70.59 / $86.47	Professional		$51.07	$70.59	$86.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $32.70 / $58.37 / $71.06	Professional		$32.70	$58.37	$71.06
United Facility/Professional Professional Modifier Low / Median / High Price $32.11 / $49.71 / $71.48	Professional		$32.11	$49.71	$71.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $53.80 / $68.09 / $80.09	Professional		$53.80	$68.09	$80.09