Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.64 / $60.86 / $90.00	Facility		$25.64	$60.86	$90.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.39 / $36.31 / $125.00	Professional		$17.39	$36.31	$125.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.40 / $43.70 / $57.95	Professional		$29.40	$43.70	$57.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.95 / $27.89 / $94.74	Professional		$16.95	$27.89	$94.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.93 / $46.57 / $93.64	Facility		$22.93	$46.57	$93.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.55 / $49.17 / $440.85	Professional		$28.55	$49.17	$440.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $36.63 / $45.60 / $57.03	Facility		$36.63	$45.60	$57.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $35.15 / $48.04 / $57.03	Professional		$35.15	$48.04	$57.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $17.10 / $30.17 / $33.78	Professional		$17.10	$30.17	$33.78
United Facility/Professional Professional Modifier Low / Median / High Price $27.07 / $40.39 / $73.70	Professional		$27.07	$40.39	$73.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $28.44 / $36.00 / $42.40	Professional		$28.44	$36.00	$42.40