Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.09 / $72.28 / $93.33	Professional		$64.09	$72.28	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.31 / $103.43 / $196.01	Professional		$78.31	$103.43	$196.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $0.85 / $1.15 / $112.66	Professional		$0.85	$1.15	$112.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.63 / $93.33 / $143.31	Facility		$55.63	$93.33	$143.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $69.00 / $126.33 / $575.00	Professional		$69.00	$126.33	$575.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $94.05 / $103.43 / $169.52	Facility		$94.05	$103.43	$169.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $77.95 / $115.32 / $169.52	Professional		$77.95	$115.32	$169.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $59.50 / $93.25 / $127.88	Professional		$59.50	$93.25	$127.88
United Facility/Professional Professional Modifier Low / Median / High Price $64.52 / $108.67 / $180.80	Professional		$64.52	$108.67	$180.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $39.90 / $40.92 / $51.80	Professional		$39.90	$40.92	$51.80