Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.18 / $11.38 / $15.22	Professional		$7.18	$11.38	$15.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.23 / $28.83 / $39.88	Professional		$14.23	$28.83	$39.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $7.52 / $16.19 / $54.10	Professional		$7.52	$16.19	$54.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.60 / $26.66 / $94.37	Professional		$15.60	$26.66	$94.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $12.62 / $24.75 / $38.11	Professional		$12.62	$24.75	$38.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.40 / $22.40 / $22.40	Professional		$22.40	$22.40	$22.40
United Facility/Professional Professional Modifier Low / Median / High Price $15.07 / $21.64 / $32.93	Professional		$15.07	$21.64	$32.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $12.70 / $24.10	Professional		$10.50	$12.70	$24.10