Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.20 / $15.77 / $23.00	Professional		$13.20	$15.77	$23.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.24 / $35.04 / $78.00	Professional		$13.24	$35.04	$78.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.45 / $20.48 / $104.04	Professional		$12.45	$20.48	$104.04
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $9.94 / $16.12 / $83.33	Professional	26	$9.94	$16.12	$83.33
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $30.82 / $30.82 / $100.00	Facility	26	$30.82	$30.82	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.88 / $29.47 / $135.99	Professional		$15.88	$29.47	$135.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $22.67 / $36.01 / $89.78	Professional		$22.67	$36.01	$89.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.96 / $16.05 / $30.86	Professional		$3.96	$16.05	$30.86
United Facility/Professional Professional Modifier Low / Median / High Price $15.09 / $21.60 / $37.89	Professional		$15.09	$21.60	$37.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $22.83 / $28.90 / $30.10	Professional		$22.83	$28.90	$30.10