Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.77 / $64.56 / $64.56	Professional		$37.77	$64.56	$64.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.35 / $105.37 / $116.06	Professional		$87.35	$105.37	$116.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $37.35 / $58.16 / $1,177.21	Professional		$37.35	$58.16	$1,177.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $82.16 / $109.07 / $1,607.00	Facility		$82.16	$109.07	$1,607.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $52.26 / $99.00 / $1,017.00	Professional		$52.26	$99.00	$1,017.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $65.66 / $98.73 / $125.15	Facility		$65.66	$98.73	$125.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $69.00 / $98.73 / $125.15	Professional		$69.00	$98.73	$125.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $70.59 / $77.20 / $101.10	Professional		$70.59	$77.20	$101.10
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 $46.69 / $87.33 / $132.16	Professional		$46.69	$87.33	$132.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $75.70 / $75.70 / $89.00	Professional		$75.70	$75.70	$89.00