Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $75.86 / $181.97	Facility		$20.89	$75.86	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $20.89 / $95.50	Professional		$10.00	$20.89	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $26.30 / $32.36	Professional		$16.60	$26.30	$32.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $33.11 / $75.86	Professional		$13.49	$33.11	$75.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $27.54 / $102.33	Facility		$13.49	$27.54	$102.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $15.14 / $35.48	Professional		$8.13	$15.14	$35.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $17.78 / $97.72	Professional		$16.22	$17.78	$97.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $16.60 / $16.60	Facility		$16.60	$16.60	$16.60
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $1,202.26 / $3,388.44	Facility		$91.20	$1,202.26	$3,388.44
United Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $30.20	Facility		$13.49	$13.49	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $11.48 / $33.11	Professional		$8.13	$11.48	$33.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $13.49 / $13.49	Professional		$10.72	$13.49	$13.49