Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.05 / $99.34 / $138.96	Facility		$55.05	$99.34	$138.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.71 / $44.43 / $49.54	Professional		$33.71	$44.43	$49.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.34 / $92.70 / $115.87	Professional		$61.34	$92.70	$115.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $63.84 / $89.37 / $474.90	Professional		$63.84	$89.37	$474.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.07 / $65.90 / $117.46	Facility		$51.07	$65.90	$117.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.64 / $51.07 / $200.47	Professional		$30.64	$51.07	$200.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $61.28 / $93.63 / $113.49	Facility		$61.28	$93.63	$113.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $61.28 / $91.93 / $130.22	Professional		$61.28	$91.93	$130.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $51.07 / $51.07 / $91.16	Professional		$51.07	$51.07	$91.16
United Facility/Professional Professional Modifier Low / Median / High Price $30.64 / $30.64 / $129.16	Professional		$30.64	$30.64	$129.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $51.07 / $51.07 / $51.07	Professional		$51.07	$51.07	$51.07