Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $41.69 / $102.33	Facility		$28.84	$41.69	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $33.88 / $102.33	Professional		$19.50	$33.88	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $45.71 / $60.26	Professional		$31.62	$45.71	$60.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $32.36 / $63.10	Professional		$20.42	$32.36	$63.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $44.67 / $72.44	Facility		$21.88	$44.67	$72.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $44.67 / $251.19	Professional		$23.44	$44.67	$251.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $53.70 / $61.66	Professional		$43.65	$53.70	$61.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $57.54	Professional		$45.71	$45.71	$57.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $36.31 / $47.86	Professional		$20.42	$36.31	$47.86
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $33.11 / $61.66	Professional		$22.39	$33.11	$61.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $41.69 / $48.98	Professional		$32.36	$41.69	$48.98