Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.33 / $45.05 / $45.05	Professional		$26.33	$45.05	$45.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.41 / $74.45 / $80.84	Professional		$60.41	$74.45	$80.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $25.83 / $40.26 / $501.74	Professional		$25.83	$40.26	$501.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.97 / $74.54 / $1,607.00	Facility		$57.97	$74.54	$1,607.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $74.19 / $802.60	Professional		$36.31	$74.19	$802.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $45.77 / $68.81 / $86.55	Facility		$45.77	$68.81	$86.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $68.81 / $105.08	Professional		$48.00	$68.81	$105.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $40.90 / $53.80 / $70.00	Professional		$40.90	$53.80	$70.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,607.00 / $2,126.00	Facility		$1,204.00	$1,607.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $33.82 / $58.05 / $91.73	Professional		$33.82	$58.05	$91.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $52.30 / $52.30 / $61.60	Professional		$52.30	$52.30	$61.60