Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.16 / $37.20 / $64.84	Professional		$27.16	$37.20	$64.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $40.00 / $87.50	Professional		$26.00	$40.00	$87.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.51 / $34.11 / $98.99	Professional		$27.51	$34.11	$98.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.65 / $46.27 / $74.11	Facility		$30.65	$46.27	$74.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $35.61 / $72.72 / $225.09	Professional		$35.61	$72.72	$225.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $66.88 / $74.11 / $93.40	Facility		$66.88	$74.11	$93.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $65.16 / $74.11 / $97.46	Professional		$65.16	$74.11	$97.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $32.40 / $40.94 / $62.01	Professional		$32.40	$40.94	$62.01
United Facility/Professional Professional Modifier Low / Median / High Price $34.20 / $55.76 / $94.79	Professional		$34.20	$55.76	$94.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $56.60 / $56.60 / $66.59	Professional		$56.60	$56.60	$66.59