Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.32 / $45.75 / $99.59	Facility		$16.32	$45.75	$99.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.59 / $16.32 / $73.87	Professional		$8.59	$16.32	$73.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.22 / $20.89 / $26.11	Professional		$13.22	$20.89	$26.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.16 / $19.53 / $54.57	Professional		$11.16	$19.53	$54.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.16 / $19.03 / $53.35	Facility		$11.16	$19.03	$53.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.70 / $11.16 / $29.13	Professional		$6.70	$11.16	$29.13
Midlands Facility/Professional Facility Modifier Low / Median / High Price $13.67 / $22.74 / $34.99	Facility		$13.67	$22.74	$34.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $13.40 / $22.74 / $31.98	Professional		$13.40	$22.74	$31.98
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $276.26 / $276.26 / $276.26	Facility		$276.26	$276.26	$276.26
United Facility/Professional Professional Modifier Low / Median / High Price $6.70 / $9.11 / $25.67	Professional		$6.70	$9.11	$25.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $8.82 / $11.16 / $11.16	Professional		$8.82	$11.16	$11.16