Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.19 / $29.22 / $32.58	Professional		$25.19	$29.22	$32.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.99 / $58.41 / $86.47	Professional		$29.99	$58.41	$86.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $28.40 / $46.67 / $61.63	Professional		$28.40	$46.67	$61.63
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $21.19 / $37.04 / $51.49	Professional	26	$21.19	$37.04	$51.49
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $118.08 / $118.08 / $118.08	Facility	26	$118.08	$118.08	$118.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.47 / $57.74 / $213.96	Professional		$34.47	$57.74	$213.96
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $75.94 / $75.94 / $75.94	Facility	26	$75.94	$75.94	$75.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $39.44 / $59.36 / $86.47	Professional		$39.44	$59.36	$86.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.62 / $30.98 / $57.23	Professional		$7.62	$30.98	$57.23
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $35.50 / $80.69	Professional		$33.88	$35.50	$80.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $56.70 / $66.80 / $78.50	Professional		$56.70	$66.80	$78.50