Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.45 / $29.88 / $39.40	Professional		$25.45	$29.88	$39.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.82 / $32.28 / $62.65	Professional		$25.82	$32.28	$62.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $233.08 / $257.73 / $312.00	Professional		$233.08	$257.73	$312.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $55.37 / $71.84	Facility		$30.00	$55.37	$71.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.02 / $54.11 / $175.44	Professional		$31.02	$54.11	$175.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $47.57 / $57.36 / $71.84	Facility		$47.57	$57.36	$71.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $47.57 / $57.36 / $71.04	Professional		$47.57	$57.36	$71.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $103.46 / $116.52	Professional		$27.40	$103.46	$116.52
United Facility/Professional Professional Modifier Low / Median / High Price $29.73 / $48.29 / $77.55	Professional		$29.73	$48.29	$77.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $93.22 / $118.00 / $118.00	Professional		$93.22	$118.00	$118.00