Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.57 / $7.83 / $8.65	Professional		$3.57	$7.83	$8.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.65 / $13.13 / $21.79	Professional		$5.65	$13.13	$21.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $13.07 / $35.61	Professional		$9.19	$13.07	$35.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.32 / $7.23 / $49.73	Professional		$4.32	$7.23	$49.73
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5.85 / $13.13 / $18.78	Professional		$5.85	$13.13	$18.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $15.48 / $21.49	Professional		$8.71	$15.48	$21.49
United Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $6.02 / $9.66	Professional		$4.13	$6.02	$9.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.82 / $13.70 / $13.70	Professional		$10.82	$13.70	$13.70