Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $30.99 / $46.95	Professional		$22.39	$30.99	$46.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.51 / $44.38 / $90.08	Professional		$35.51	$44.38	$90.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $37.46 / $49.02 / $71.52	Professional		$37.46	$49.02	$71.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.40 / $40.28 / $108.82	Professional		$29.40	$40.28	$108.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $62.14 / $88.63	Professional		$38.00	$62.14	$88.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $38.45 / $52.35 / $73.93	Professional		$38.45	$52.35	$73.93
United Facility/Professional Professional Modifier Low / Median / High Price $29.40 / $38.24 / $58.50	Professional		$29.40	$38.24	$58.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $52.10 / $52.10 / $61.30	Professional		$52.10	$52.10	$61.30