Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $33.88	Facility		$30.20	$30.20	$33.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $23.99 / $38.02	Professional		$19.95	$23.99	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $50.12 / $100.00	Professional		$18.20	$50.12	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $26.92 / $91.20	Professional		$19.95	$26.92	$91.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $30.20 / $54.95	Facility		$21.38	$30.20	$54.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $39.81 / $158.49	Professional		$19.95	$39.81	$158.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $56.23 / $66.07	Professional		$30.90	$56.23	$66.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $75.86	Professional		$57.54	$57.54	$75.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $30.20 / $60.26	Professional		$20.42	$30.20	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $17.38	Facility		$17.38	$17.38	$17.38
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $34.67 / $61.66	Professional		$19.95	$34.67	$61.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $33.11 / $38.90	Professional		$29.51	$33.11	$38.90