Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $74.13 / $107.15	Facility		$25.12	$74.13	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $28.18 / $47.86	Professional		$22.91	$28.18	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $64.57 / $79.43	Professional		$56.23	$64.57	$79.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $61.66 / $102.33	Professional		$37.15	$61.66	$102.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $43.65 / $93.33	Facility		$33.11	$43.65	$93.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $54.95 / $134.90	Professional		$33.11	$54.95	$134.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $43.65	Professional		$39.81	$39.81	$43.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $36.31 / $70.79	Professional		$32.36	$36.31	$70.79
United Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $77.62	Facility		$33.11	$33.11	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $77.62	Professional		$33.11	$33.11	$77.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Professional		$33.11	$33.11	$33.11