Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.37 / $32.40 / $110.00	Professional		$22.37	$32.40	$110.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.94 / $53.04 / $66.30	Professional		$33.94	$53.04	$66.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.29 / $28.96 / $55.30	Professional		$21.29	$28.96	$55.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.50 / $38.97 / $83.87	Professional		$22.50	$38.97	$83.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $40.53 / $59.35	Professional		$27.00	$40.53	$59.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $39.27 / $45.68	Professional		$22.00	$39.27	$45.68
United Facility/Professional Professional Modifier Low / Median / High Price $21.73 / $32.72 / $54.12	Professional		$21.73	$32.72	$54.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $29.70 / $37.60 / $44.20	Professional		$29.70	$37.60	$44.20