Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $37.15 / $162.18	Facility		$13.80	$37.15	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $13.80 / $123.03	Professional		$10.00	$13.80	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $26.30 / $32.36	Professional		$16.98	$26.30	$32.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $25.12 / $162.18	Professional		$15.14	$25.12	$162.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $20.89 / $66.07	Facility		$13.80	$20.89	$66.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $16.60 / $35.48	Professional		$8.32	$16.60	$35.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.98 / $17.78	Professional		$16.60	$16.98	$17.78
Midlands Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Facility		$16.98	$16.98	$16.98
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
United Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $30.20	Facility		$13.80	$13.80	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $11.48 / $33.11	Professional		$8.32	$11.48	$33.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.80 / $13.80	Professional		$10.96	$13.80	$13.80