Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.14 / $36.00 / $41.35	Professional		$31.14	$36.00	$41.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.93 / $53.44 / $87.78	Professional		$33.93	$53.44	$87.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $33.24 / $51.84 / $67.03	Professional		$33.24	$51.84	$67.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.29 / $49.20 / $159.72	Professional		$30.29	$49.20	$159.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $44.86 / $60.87 / $91.27	Professional		$44.86	$60.87	$91.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.13 / $37.86 / $65.37	Professional		$11.13	$37.86	$65.37
United Facility/Professional Professional Modifier Low / Median / High Price $28.45 / $39.36 / $89.73	Professional		$28.45	$39.36	$89.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $42.19 / $53.40 / $62.80	Professional		$42.19	$53.40	$62.80