Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.81 / $43.55 / $128.50	Facility		$14.81	$43.55	$128.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.58 / $18.07 / $88.35	Professional		$10.58	$18.07	$88.35
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 $13.74 / $24.05 / $66.36	Professional		$13.74	$24.05	$66.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.74 / $23.04 / $66.72	Facility		$13.74	$23.04	$66.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.24 / $14.15 / $37.69	Professional		$8.24	$14.15	$37.69
Midlands Facility/Professional Facility Modifier Low / Median / High Price $16.82 / $28.00 / $43.07	Facility		$16.82	$28.00	$43.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $16.50 / $28.00 / $39.35	Professional		$16.50	$28.00	$39.35
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $246.17 / $246.17 / $246.17	Facility		$246.17	$246.17	$246.17
United Facility/Professional Professional Modifier Low / Median / High Price $8.24 / $9.16 / $33.29	Professional		$8.24	$9.16	$33.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.85 / $13.74 / $13.74	Professional		$10.85	$13.74	$13.74