Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.30 / $62.09 / $234.00	Professional		$44.30	$62.09	$234.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.86 / $120.24 / $143.27	Professional		$53.86	$120.24	$143.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $50.99 / $75.16 / $248.94	Professional		$50.99	$75.16	$248.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.39 / $85.40 / $134.77	Facility		$51.39	$85.40	$134.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $74.22 / $125.29 / $327.91	Professional		$74.22	$125.29	$327.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $99.03 / $120.24 / $135.51	Facility		$99.03	$120.24	$135.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $99.03 / $122.56 / $140.26	Professional		$99.03	$122.56	$140.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $45.55 / $81.31 / $97.34	Professional		$45.55	$81.31	$97.34
United Facility/Professional Professional Modifier Low / Median / High Price $57.31 / $100.53 / $141.71	Professional		$57.31	$100.53	$141.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $79.63 / $100.80 / $118.50	Professional		$79.63	$100.80	$118.50