Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.36 / $19.36 / $19.36	Facility		$19.36	$19.36	$19.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.71 / $19.16 / $49.33	Professional		$7.71	$19.16	$49.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $23.16 / $54.05	Professional		$9.77	$23.16	$54.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.16 / $25.58 / $63.79	Professional		$8.16	$25.58	$63.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.02 / $23.63 / $51.08	Facility		$10.02	$23.63	$51.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.60 / $39.33 / $79.42	Professional		$20.60	$39.33	$79.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $17.30 / $38.58 / $51.89	Facility		$17.30	$38.58	$51.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $36.60 / $51.89	Professional		$16.64	$36.60	$51.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.49 / $19.53 / $39.22	Professional		$7.49	$19.53	$39.22
United Facility/Professional Professional Modifier Low / Median / High Price $21.54 / $31.84 / $53.57	Professional		$21.54	$31.84	$53.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $15.10 / $18.50 / $48.20	Professional		$15.10	$18.50	$48.20