Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.53 / $61.20 / $81.94	Professional		$55.53	$61.20	$81.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $85.24 / $145.74	Professional		$42.00	$85.24	$145.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $48.22 / $67.01 / $162.08	Professional		$48.22	$67.01	$162.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $53.94 / $81.94 / $137.75	Facility		$53.94	$81.94	$137.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $85.27 / $145.74 / $404.95	Professional		$85.27	$145.74	$404.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $112.06 / $127.43 / $156.88	Facility		$112.06	$127.43	$156.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $93.02 / $124.80 / $153.18	Professional		$93.02	$124.80	$153.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $95.64 / $100.37 / $105.71	Professional		$95.64	$100.37	$105.71
United Facility/Professional Professional Modifier Low / Median / High Price $66.08 / $111.73 / $181.76	Professional		$66.08	$111.73	$181.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $62.70 / $65.09 / $82.40	Professional		$62.70	$65.09	$82.40