Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $33.11 / $47.86	Facility		$10.00	$33.11	$47.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.02 / $21.88	Professional		$8.91	$12.02	$21.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $26.92 / $33.88	Professional		$16.98	$26.92	$33.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $27.54 / $36.31	Professional		$13.80	$27.54	$36.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $18.20 / $43.65	Facility		$13.80	$18.20	$43.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $16.60 / $36.31	Professional		$8.32	$16.60	$36.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $17.78 / $57.54	Professional		$16.60	$17.78	$57.54
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 $30.20 / $281.84 / $380.19	Facility		$30.20	$281.84	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $30.90	Facility		$13.80	$13.80	$30.90
United Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $11.75 / $33.88	Professional		$8.32	$11.75	$33.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.80 / $13.80	Professional		$10.96	$13.80	$13.80