Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.68 / $78.62 / $233.10	Facility		$39.68	$78.62	$233.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.26 / $41.38 / $78.62	Professional		$38.26	$41.38	$78.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.70 / $75.14 / $93.92	Professional		$49.70	$75.14	$93.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $45.52 / $72.42 / $245.54	Professional		$45.52	$72.42	$245.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $41.38 / $53.59 / $95.17	Facility		$41.38	$53.59	$95.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.99 / $43.16 / $156.55	Professional		$40.99	$43.16	$156.55
Midlands Facility/Professional Facility Modifier Low / Median / High Price $45.52 / $53.79 / $91.02	Facility		$45.52	$53.79	$91.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $49.66 / $68.88 / $108.37	Professional		$49.66	$68.88	$108.37
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $579.66 / $579.66 / $579.66	Facility		$579.66	$579.66	$579.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $40.26 / $41.38 / $73.86	Professional		$40.26	$41.38	$73.86
United Facility/Professional Professional Modifier Low / Median / High Price $39.26 / $41.90 / $86.19	Professional		$39.26	$41.90	$86.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $41.38 / $41.38 / $41.38	Professional		$41.38	$41.38	$41.38