Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $19.69 / $91.00	Professional		$14.40	$19.69	$91.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.93 / $32.40 / $89.33	Professional		$25.93	$32.40	$89.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.38 / $36.07 / $51.60	Professional		$23.38	$36.07	$51.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.23 / $28.17 / $77.41	Professional		$21.23	$28.17	$77.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $44.59 / $63.41	Professional		$30.00	$44.59	$63.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.29 / $38.57 / $54.51	Professional		$28.29	$38.57	$54.51
United Facility/Professional Professional Modifier Low / Median / High Price $20.56 / $27.48 / $41.75	Professional		$20.56	$27.48	$41.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $38.29 / $38.29 / $45.10	Professional		$38.29	$38.29	$45.10