Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $34.67 / $79.43	Professional		$22.91	$34.67	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $83.18 / $107.15	Professional		$31.62	$83.18	$107.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $48.98 / $109.65	Professional		$30.90	$48.98	$109.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $47.86 / $223.87	Professional		$25.12	$47.86	$223.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $60.26 / $93.33	Professional		$32.36	$60.26	$93.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $56.23 / $93.33	Professional		$43.65	$56.23	$93.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $58.88 / $97.72	Professional		$35.48	$58.88	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $39.81 / $69.18	Professional		$23.44	$39.81	$69.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $72.44 / $85.11	Professional		$57.54	$72.44	$85.11