Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.94 / $124.34 / $271.56	Facility		$26.94	$124.34	$271.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.40 / $13.30 / $64.00	Professional		$11.40	$13.30	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $31.33 / $39.17	Professional		$19.82	$31.33	$39.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $25.91 / $99.78	Professional		$19.00	$25.91	$99.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.27 / $36.68 / $118.86	Facility		$17.27	$36.68	$118.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.36 / $10.36 / $43.68	Professional		$10.36	$10.36	$43.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $20.74 / $31.58 / $64.89	Facility		$20.74	$31.58	$64.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $31.58 / $45.07	Professional		$20.72	$31.58	$45.07
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $269.18 / $2,397.33 / $4,140.85	Facility		$269.18	$2,397.33	$4,140.85
United Facility/Professional Professional Modifier Low / Median / High Price $10.36 / $10.36 / $35.36	Professional		$10.36	$10.36	$35.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13.64 / $17.27 / $17.27	Professional		$13.64	$17.27	$17.27