Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.82 / $26.59 / $48.89	Professional		$23.82	$26.59	$48.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.21 / $37.85 / $64.20	Professional		$23.21	$37.85	$64.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $22.53 / $26.40 / $64.25	Professional		$22.53	$26.40	$64.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.19 / $49.24 / $167.64	Professional		$29.19	$49.24	$167.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $33.67 / $41.37 / $64.20	Professional		$33.67	$41.37	$64.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $33.20 / $45.20 / $67.20	Professional		$33.20	$45.20	$67.20
United Facility/Professional Professional Modifier Low / Median / High Price $27.92 / $40.61 / $69.03	Professional		$27.92	$40.61	$69.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $36.50 / $46.20 / $54.40	Professional		$36.50	$46.20	$54.40