Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.43 / $17.97 / $106.16	Professional		$12.43	$17.97	$106.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.34 / $20.58 / $90.08	Professional		$16.34	$20.58	$90.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.50 / $25.19 / $51.49	Professional		$17.50	$25.19	$51.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.01 / $21.25 / $80.28	Professional		$17.01	$21.25	$80.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $24.01 / $33.63 / $60.66	Professional		$24.01	$33.63	$60.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $24.59 / $34.77	Professional		$18.00	$24.59	$34.77
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $20.01 / $37.02	Professional		$16.98	$20.01	$37.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $24.20 / $24.20 / $28.40	Professional		$24.20	$24.20	$28.40