Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.78 / $62.74 / $386.24	Professional		$26.78	$62.74	$386.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.42 / $58.43 / $79.73	Professional		$27.42	$58.43	$79.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.72 / $39.54 / $92.46	Professional		$23.72	$39.54	$92.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.92 / $57.55 / $336.41	Professional		$30.92	$57.55	$336.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $44.29 / $61.96 / $72.06	Professional		$44.29	$61.96	$72.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $26.17 / $43.27 / $52.71	Professional		$26.17	$43.27	$52.71
United Facility/Professional Professional Modifier Low / Median / High Price $29.70 / $41.46 / $65.50	Professional		$29.70	$41.46	$65.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $39.34 / $49.80 / $58.60	Professional		$39.34	$49.80	$58.60