Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $15.38 / $20.17	Professional		$10.62	$15.38	$20.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.53 / $17.18 / $90.08	Professional		$13.53	$17.18	$90.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.51 / $20.48 / $44.44	Professional		$14.51	$20.48	$44.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.53 / $17.60 / $58.40	Professional		$14.53	$17.60	$58.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $29.54 / $46.47	Professional		$20.00	$29.54	$46.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $14.80 / $20.25 / $28.93	Professional		$14.80	$20.25	$28.93
United Facility/Professional Professional Modifier Low / Median / High Price $14.51 / $17.09 / $31.62	Professional		$14.51	$17.09	$31.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $23.50	Professional		$20.00	$20.00	$23.50