Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.12 / $49.92 / $180.24	Facility		$20.12	$49.92	$180.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $15.86 / $164.56	Professional		$9.27	$15.86	$164.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.63 / $21.54 / $26.93	Professional		$13.63	$21.54	$26.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $21.09 / $76.89	Professional		$12.05	$21.09	$76.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.05 / $20.55 / $60.00	Facility		$12.05	$20.55	$60.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.23 / $12.05 / $31.45	Professional		$7.23	$12.05	$31.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.76 / $24.55 / $37.78	Facility		$14.76	$24.55	$37.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.48 / $24.55 / $34.52	Professional		$14.48	$24.55	$34.52
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $200.06 / $1,456.82 / $2,516.30	Facility		$200.06	$1,456.82	$2,516.30
United Facility/Professional Professional Modifier Low / Median / High Price $7.23 / $10.10 / $27.72	Professional		$7.23	$10.10	$27.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9.52 / $12.05 / $12.05	Professional		$9.52	$12.05	$12.05