Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.65 / $40.65 / $51.37	Facility		$40.65	$40.65	$51.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.78 / $54.17 / $144.99	Professional		$39.78	$54.17	$144.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.88 / $38.75 / $47.34	Professional		$37.88	$38.75	$47.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.97 / $22.23 / $58.69	Professional		$12.97	$22.23	$58.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.65 / $47.50 / $66.09	Facility		$40.65	$47.50	$66.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.99 / $44.06 / $55.49	Professional		$38.99	$44.06	$55.49
Midlands Facility/Professional Facility Modifier Low / Median / High Price $34.00 / $49.20 / $68.52	Facility		$34.00	$49.20	$68.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $34.00 / $49.20 / $64.38	Professional		$34.00	$49.20	$64.38
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $69.42 / $69.42 / $69.42	Facility		$69.42	$69.42	$69.42
United Facility/Professional Professional Modifier Low / Median / High Price $39.56 / $44.70 / $46.68	Professional		$39.56	$44.70	$46.68
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $38.85 / $38.85 / $38.85	Facility		$38.85	$38.85	$38.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $38.85 / $38.85 / $38.85	Professional		$38.85	$38.85	$38.85