Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.02 / $40.90 / $54.83	Facility		$36.02	$40.90	$54.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.65 / $29.72 / $42.10	Professional		$26.65	$29.72	$42.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.27 / $96.07 / $98.87	Facility		$93.27	$96.07	$98.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.87 / $76.02 / $95.02	Professional		$29.87	$76.02	$95.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $28.58 / $42.66 / $100.46	Professional		$28.58	$42.66	$100.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.02 / $64.23 / $239.94	Facility		$36.02	$64.23	$239.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.06 / $50.63 / $213.10	Professional		$31.06	$50.63	$213.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $51.00 / $69.73 / $110.95	Facility		$51.00	$69.73	$110.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $44.17 / $64.23 / $89.82	Professional		$44.17	$64.23	$89.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $9.07 / $24.23 / $53.84	Professional		$9.07	$24.23	$53.84
United Facility/Professional Professional Modifier Low / Median / High Price $31.06 / $40.45 / $62.49	Professional		$31.06	$40.45	$62.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $44.24 / $56.00 / $65.80	Professional		$44.24	$56.00	$65.80