Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.25 / $56.39 / $78.88	Facility		$31.25	$56.39	$78.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.19 / $22.32 / $33.57	Professional		$19.19	$22.32	$33.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.44 / $44.39 / $56.45	Professional		$27.44	$44.39	$56.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $30.83 / $123.42	Professional		$19.97	$30.83	$123.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.32 / $34.36 / $267.20	Facility		$22.32	$34.36	$267.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.11 / $18.50 / $206.17	Professional		$11.11	$18.50	$206.17
Midlands Facility/Professional Facility Modifier Low / Median / High Price $27.26 / $46.06 / $72.23	Facility		$27.26	$46.06	$72.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $27.26 / $47.35 / $76.44	Professional		$27.26	$47.35	$76.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $32.29 / $32.29 / $32.29	Professional		$32.29	$32.29	$32.29
United Facility/Professional Professional Modifier Low / Median / High Price $11.59 / $18.46 / $41.87	Professional		$11.59	$18.46	$41.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $20.30 / $25.70 / $30.30	Professional		$20.30	$25.70	$30.30