Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $89.13 / $128.82	Facility		$36.31	$89.13	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $37.15 / $46.77	Professional		$32.36	$37.15	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $112.20	Professional		$91.20	$91.20	$112.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $63.10 / $151.36	Professional		$39.81	$63.10	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $56.23 / $107.15	Facility		$46.77	$56.23	$107.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $46.77 / $190.55	Professional		$28.18	$46.77	$190.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Professional		$56.23	$56.23	$56.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $51.29 / $100.00	Professional		$46.77	$51.29	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $107.15	Facility		$46.77	$46.77	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $120.23	Professional		$28.18	$28.18	$120.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Professional		$46.77	$46.77	$46.77