Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.87 / $35.33 / $145.00	Professional		$21.87	$35.33	$145.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.06 / $51.68 / $68.45	Professional		$24.06	$51.68	$68.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.23 / $36.20 / $90.92	Professional		$21.23	$36.20	$90.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.85 / $49.36 / $170.18	Professional		$27.85	$49.36	$170.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $39.20 / $50.83 / $68.45	Professional		$39.20	$50.83	$68.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $24.13 / $41.33 / $50.29	Professional		$24.13	$41.33	$50.29
United Facility/Professional Professional Modifier Low / Median / High Price $26.59 / $37.82 / $59.00	Professional		$26.59	$37.82	$59.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $35.86 / $45.40 / $53.40	Professional		$35.86	$45.40	$53.40