Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.91 / $47.16 / $110.66	Professional		$28.91	$47.16	$110.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.15 / $79.52 / $206.99	Professional		$29.15	$79.52	$206.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.56 / $80.25 / $158.90	Professional		$27.56	$80.25	$158.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.96 / $88.33 / $200.43	Facility		$30.96	$88.33	$200.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $74.06 / $104.96 / $293.77	Professional		$74.06	$104.96	$293.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $74.17 / $151.00 / $198.77	Facility		$74.17	$151.00	$198.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $67.73 / $138.00 / $208.96	Professional		$67.73	$138.00	$208.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.08 / $61.84 / $151.09	Professional		$27.08	$61.84	$151.09
United Facility/Professional Professional Modifier Low / Median / High Price $74.06 / $93.56 / $178.55	Professional		$74.06	$93.56	$178.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $42.90 / $68.90 / $156.50	Professional		$42.90	$68.90	$156.50