Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.60 / $16.10 / $19.59	Professional		$10.60	$16.10	$19.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $24.26 / $39.19	Professional		$18.00	$24.26	$39.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.96 / $15.25 / $23.46	Professional		$12.96	$15.25	$23.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.93 / $30.23 / $103.02	Professional		$17.93	$30.23	$103.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $21.33 / $27.00 / $44.63	Professional		$21.33	$27.00	$44.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $21.20 / $21.20 / $21.20	Professional		$21.20	$21.20	$21.20
United Facility/Professional Professional Modifier Low / Median / High Price $17.12 / $23.66 / $37.85	Professional		$17.12	$23.66	$37.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $20.10 / $20.10 / $23.70	Professional		$20.10	$20.10	$23.70