Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.82 / $89.84	Professional		$12.88	$16.82	$89.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.13 / $20.16 / $33.20	Professional		$16.13	$20.16	$33.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.97 / $13.47 / $65.00	Professional		$10.97	$13.47	$65.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.32 / $33.04 / $123.50	Professional		$18.32	$33.04	$123.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $26.47 / $39.15	Professional		$18.17	$26.47	$39.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.47 / $24.04 / $28.78	Professional		$13.47	$24.04	$28.78
United Facility/Professional Professional Modifier Low / Median / High Price $18.32 / $30.11 / $46.54	Professional		$18.32	$30.11	$46.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $19.43 / $21.80 / $24.60	Professional		$19.43	$21.80	$24.60