Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $35.48 / $87.10	Facility		$14.13	$35.48	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $17.78 / $36.31	Professional		$10.00	$17.78	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $33.11 / $40.74	Professional		$26.30	$33.11	$40.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $28.18 / $138.04	Professional		$14.45	$28.18	$138.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $39.81 / $1,380.38	Facility		$17.38	$39.81	$1,380.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $33.11 / $95.50	Professional		$19.05	$33.11	$95.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $32.36 / $44.67	Professional		$26.30	$32.36	$44.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $33.11 / $40.74	Professional		$23.99	$33.11	$40.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $36.31 / $38.02	Professional		$30.90	$36.31	$38.02
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,202.26 / $2,344.23	Facility		$436.52	$1,202.26	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $23.44 / $41.69	Professional		$14.45	$23.44	$41.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $26.92 / $32.36	Professional		$22.91	$26.92	$32.36