Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.86 / $65.87 / $92.13	Facility		$33.86	$65.87	$92.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.35 / $26.07 / $32.84	Professional		$22.35	$26.07	$32.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.63 / $62.02 / $77.52	Professional		$40.63	$62.02	$77.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $37.25 / $50.79 / $173.07	Professional		$37.25	$50.79	$173.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.86 / $43.70 / $86.68	Facility		$33.86	$43.70	$86.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $33.86 / $133.21	Professional		$20.32	$33.86	$133.21
Midlands Facility/Professional Facility Modifier Low / Median / High Price $40.63 / $64.47 / $95.57	Facility		$40.63	$64.47	$95.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $40.63 / $65.72 / $86.34	Professional		$40.63	$65.72	$86.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $33.86 / $60.44	Professional		$33.86	$33.86	$60.44
United Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $20.32 / $73.81	Professional		$20.32	$20.32	$73.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $33.86 / $33.86	Professional		$33.86	$33.86	$33.86