Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.80 / $14.80 / $76.19	Facility		$14.80	$14.80	$76.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.79 / $12.00 / $62.00	Professional		$7.79	$12.00	$62.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $65.00	Facility		$50.00	$50.00	$65.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.43 / $14.27 / $90.08	Professional		$10.43	$14.27	$90.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.51 / $17.82 / $35.58	Professional		$11.51	$17.82	$35.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.79 / $21.38 / $100.00	Facility		$7.79	$21.38	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.77 / $14.16 / $43.38	Professional		$11.77	$14.16	$43.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $15.73 / $20.63 / $24.62	Facility		$15.73	$20.63	$24.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.10 / $21.62 / $31.58	Professional		$17.10	$21.62	$31.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.67 / $21.49 / $22.87	Professional		$20.67	$21.49	$22.87
United Facility/Professional Professional Modifier Low / Median / High Price $11.07 / $13.85 / $25.34	Professional		$11.07	$13.85	$25.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $15.80 / $15.80 / $18.60	Professional		$15.80	$15.80	$18.60