Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.48 / $6.26 / $31.57	Professional		$3.48	$6.26	$31.57
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $4.63 / $4.63 / $4.63	Professional	CQ	$4.63	$4.63	$4.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.07 / $7.87 / $90.08	Professional		$5.07	$7.87	$90.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.64 / $8.90 / $19.16	Professional		$5.64	$8.90	$19.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.75 / $7.77 / $26.27	Professional		$4.75	$7.77	$26.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $8.28 / $10.88 / $21.13	Professional		$8.28	$10.88	$21.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.88 / $8.22 / $11.57	Professional		$5.88	$8.22	$11.57
United Facility/Professional Professional Modifier Low / Median / High Price $4.75 / $5.59 / $10.67	Professional		$4.75	$5.59	$10.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7.90 / $7.90 / $9.30	Professional		$7.90	$7.90	$9.30