Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.72 / $24.07 / $31.12	Professional		$17.72	$24.07	$31.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.95 / $41.43 / $61.67	Professional		$32.95	$41.43	$61.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.53 / $27.68 / $69.31	Professional		$23.53	$27.68	$69.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.95 / $61.26 / $169.93	Professional		$33.95	$61.26	$169.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $33.89 / $43.19 / $69.58	Professional		$33.89	$43.19	$69.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $41.40 / $41.40 / $66.09	Professional		$41.40	$41.40	$66.09
United Facility/Professional Professional Modifier Low / Median / High Price $30.50 / $54.81 / $72.13	Professional		$30.50	$54.81	$72.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $35.79 / $39.00 / $45.90	Professional		$35.79	$39.00	$45.90