Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.12 / $47.81 / $130.66	Professional		$30.12	$47.81	$130.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.10 / $86.86 / $124.00	Professional		$27.10	$86.86	$124.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $47.45 / $74.15 / $127.32	Professional		$47.45	$74.15	$127.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.96 / $66.72 / $143.38	Facility		$39.96	$66.72	$143.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $50.80 / $93.80 / $360.21	Professional		$50.80	$93.80	$360.21
Midlands Facility/Professional Facility Modifier Low / Median / High Price $53.62 / $87.00 / $112.54	Facility		$53.62	$87.00	$112.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $53.62 / $80.43 / $117.56	Professional		$53.62	$80.43	$117.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $29.96 / $55.02 / $96.51	Professional		$29.96	$55.02	$96.51
United Facility/Professional Professional Modifier Low / Median / High Price $50.80 / $52.91 / $118.92	Professional		$50.80	$52.91	$118.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $61.10 / $71.80 / $113.70	Professional		$61.10	$71.80	$113.70