Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.32 / $37.97 / $50.96	Facility		$17.32	$37.97	$50.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.61 / $12.37 / $12.37	Professional		$10.61	$12.37	$12.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $29.38 / $36.72	Professional		$18.59	$29.38	$36.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $28.12 / $40.40	Professional		$16.07	$28.12	$40.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $20.73 / $58.23	Facility		$16.07	$20.73	$58.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $16.07 / $36.96	Professional		$9.64	$16.07	$36.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.69 / $29.46 / $43.59	Facility		$14.69	$29.46	$43.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $28.89 / $41.94	Professional		$18.14	$28.89	$41.94
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $381.41 / $854.82 / $1,476.49	Facility		$381.41	$854.82	$1,476.49
United Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $9.78 / $35.03	Professional		$9.64	$9.78	$35.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.70 / $16.07 / $16.07	Professional		$12.70	$16.07	$16.07