Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.08 / $68.94 / $97.15	Professional		$59.08	$68.94	$97.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $140.53 / $211.04	Professional		$54.00	$140.53	$211.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $56.67 / $78.70 / $197.15	Professional		$56.67	$78.70	$197.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.76 / $91.07 / $149.61	Facility		$60.76	$91.07	$149.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.27 / $140.53 / $442.04	Professional		$56.27	$140.53	$442.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $138.56 / $159.26 / $187.87	Facility		$138.56	$159.26	$187.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $125.72 / $158.88 / $183.83	Professional		$125.72	$158.88	$183.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $53.77 / $69.41 / $136.32	Professional		$53.77	$69.41	$136.32
United Facility/Professional Professional Modifier Low / Median / High Price $55.04 / $105.90 / $186.85	Professional		$55.04	$105.90	$186.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $81.50 / $93.20 / $109.70	Professional		$81.50	$93.20	$109.70