Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $24.55 / $117.49	Facility		$8.91	$24.55	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.96 / $85.11	Professional		$7.94	$10.96	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $24.55 / $30.90	Professional		$15.85	$24.55	$30.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $23.44 / $117.49	Professional		$12.88	$23.44	$117.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $16.60 / $40.74	Facility		$12.88	$16.60	$40.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $15.49 / $33.88	Professional		$7.76	$15.49	$33.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.85 / $16.60	Professional		$15.49	$15.85	$16.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Facility		$15.85	$15.85	$15.85
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Facility		$831.76	$831.76	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $28.18	Facility		$12.88	$12.88	$28.18
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $10.72 / $30.90	Professional		$7.76	$10.72	$30.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $12.88 / $12.88	Professional		$10.23	$12.88	$12.88