Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.60 / $25.02 / $37.93	Professional		$18.60	$25.02	$37.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.15 / $37.69 / $90.08	Professional		$30.15	$37.69	$90.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $26.52 / $38.95 / $56.24	Professional		$26.52	$38.95	$56.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.61 / $33.50 / $88.43	Professional		$25.61	$33.50	$88.43
Midlands Facility/Professional Professional Modifier Low / Median / High Price $34.82 / $51.68 / $72.77	Professional		$34.82	$51.68	$72.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $32.40 / $43.94 / $63.12	Professional		$32.40	$43.94	$63.12
United Facility/Professional Professional Modifier Low / Median / High Price $24.46 / $32.27 / $50.95	Professional		$24.46	$32.27	$50.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $44.10 / $44.10 / $51.90	Professional		$44.10	$44.10	$51.90