Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.12 / $37.15	Professional		$19.95	$25.12	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $38.02 / $52.48	Professional		$30.20	$38.02	$52.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $41.69 / $57.54	Professional		$30.20	$41.69	$57.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $33.88 / $91.20	Professional		$24.55	$33.88	$91.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $50.12 / $60.26	Professional		$35.48	$50.12	$60.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $37.15 / $60.26	Professional		$35.48	$37.15	$60.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $44.67 / $69.18	Professional		$33.11	$44.67	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $30.90 / $51.29	Professional		$23.99	$30.90	$51.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $52.48	Professional		$43.65	$43.65	$52.48