Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.38 / $105.75 / $194.22	Facility		$30.38	$105.75	$194.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.94 / $24.06 / $103.32	Professional		$12.94	$24.06	$103.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.41 / $30.68 / $38.35	Professional		$19.41	$30.68	$38.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $29.40 / $64.34	Professional		$16.80	$29.40	$64.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.80 / $36.95 / $139.88	Facility		$16.80	$36.95	$139.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.08 / $16.80 / $43.85	Professional		$10.08	$16.80	$43.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $20.58 / $34.24 / $52.67	Facility		$20.58	$34.24	$52.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20.17 / $34.24 / $48.15	Professional		$20.17	$34.24	$48.15
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $52.10 / $164.00 / $283.27	Facility		$52.10	$164.00	$283.27
United Facility/Professional Professional Modifier Low / Median / High Price $10.08 / $14.08 / $40.70	Professional		$10.08	$14.08	$40.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13.27 / $16.80 / $16.80	Professional		$13.27	$16.80	$16.80