Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.85 / $58.08 / $123.69	Facility		$20.85	$58.08	$123.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.53 / $13.68 / $97.00	Professional		$10.53	$13.68	$97.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.69 / $24.81 / $31.01	Professional		$15.69	$24.81	$31.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.68 / $23.94 / $71.81	Professional		$13.68	$23.94	$71.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.68 / $22.91 / $65.48	Facility		$13.68	$22.91	$65.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.21 / $14.09 / $36.57	Professional		$8.21	$14.09	$36.57
Midlands Facility/Professional Facility Modifier Low / Median / High Price $16.73 / $27.87 / $42.89	Facility		$16.73	$27.87	$42.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $16.43 / $27.87 / $36.57	Professional		$16.43	$27.87	$36.57
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $578.15 / $2,923.87 / $4,273.33	Facility		$578.15	$2,923.87	$4,273.33
United Facility/Professional Professional Modifier Low / Median / High Price $8.21 / $11.45 / $33.14	Professional		$8.21	$11.45	$33.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.81 / $13.68 / $13.68	Professional		$10.81	$13.68	$13.68