Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.85 / $104.71	Professional		$12.02	$15.85	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $20.42 / $33.88	Professional		$16.22	$20.42	$33.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $25.12 / $56.23	Professional		$17.38	$25.12	$56.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $25.12 / $87.10	Professional		$16.98	$25.12	$87.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $30.20 / $60.26	Professional		$23.99	$30.20	$60.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $37.15 / $37.15	Professional		$32.36	$37.15	$37.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $25.12 / $38.90	Professional		$18.20	$25.12	$38.90
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.95 / $42.66	Professional		$16.98	$19.95	$42.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $28.18	Professional		$23.99	$23.99	$28.18