Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.20 / $22.25 / $31.49	Professional		$19.20	$22.25	$31.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $44.56 / $67.79	Professional		$17.00	$44.56	$67.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.27 / $25.11 / $72.45	Professional		$18.27	$25.11	$72.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.64 / $29.81 / $48.49	Facility		$19.64	$29.81	$48.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $46.08 / $142.02	Professional		$18.23	$46.08	$142.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $42.07 / $47.57 / $56.66	Facility		$42.07	$47.57	$56.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $40.54 / $50.55 / $57.73	Professional		$40.54	$50.55	$57.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $17.28 / $22.38 / $44.12	Professional		$17.28	$22.38	$44.12
United Facility/Professional Professional Modifier Low / Median / High Price $17.85 / $30.62 / $60.69	Professional		$17.85	$30.62	$60.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $30.10 / $35.40	Professional		$26.30	$30.10	$35.40