Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.52 / $67.70 / $136.55	Facility		$37.52	$67.70	$136.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.97 / $30.28 / $33.77	Professional		$22.97	$30.28	$33.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.80 / $63.32 / $79.15	Professional		$41.80	$63.32	$79.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $34.81 / $63.01 / $150.30	Professional		$34.81	$63.01	$150.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $34.81 / $52.22 / $100.00	Facility		$34.81	$52.22	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.81 / $48.28 / $170.17	Professional		$34.81	$48.28	$170.17
Midlands Facility/Professional Facility Modifier Low / Median / High Price $44.92 / $65.45 / $109.13	Facility		$44.92	$65.45	$109.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $44.92 / $66.48 / $92.55	Professional		$44.92	$66.48	$92.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $34.81 / $62.14	Professional		$33.86	$34.81	$62.14
United Facility/Professional Professional Modifier Low / Median / High Price $34.81 / $34.81 / $66.05	Professional		$34.81	$34.81	$66.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $34.81 / $34.81 / $34.81	Professional		$34.81	$34.81	$34.81