Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $42.66 / $123.03	Facility		$33.88	$42.66	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $34.67 / $128.82	Professional		$22.91	$34.67	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $53.70 / $66.07	Professional		$38.02	$53.70	$66.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $34.67 / $102.33	Professional		$23.44	$34.67	$102.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $46.77 / $66.07	Facility		$25.70	$46.77	$66.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $50.12 / $158.49	Professional		$27.54	$50.12	$158.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $61.66 / $66.07	Professional		$51.29	$61.66	$66.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $67.61	Professional		$53.70	$53.70	$67.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $44.67 / $57.54	Professional		$25.12	$44.67	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $38.90 / $72.44	Professional		$26.30	$38.90	$72.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $50.12 / $58.88	Professional		$39.81	$50.12	$58.88