Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $112.20 / $213.80	Facility		$38.90	$112.20	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $43.65 / $70.79	Professional		$19.05	$43.65	$70.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $64.57	Facility		$50.12	$50.12	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $66.07 / $93.33	Professional		$36.31	$66.07	$93.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $63.10 / $87.10	Professional		$43.65	$63.10	$87.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $66.07 / $281.84	Facility		$36.31	$66.07	$281.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $45.71 / $158.49	Professional		$23.44	$45.71	$158.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $77.62 / $109.65	Professional		$38.90	$77.62	$109.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $109.65	Professional		$32.36	$32.36	$109.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $77.62 / $123.03	Professional		$57.54	$77.62	$123.03
United Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $67.61 / $95.50	Facility		$60.26	$67.61	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $41.69 / $74.13	Professional		$22.39	$41.69	$74.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $91.20	Professional		$77.62	$77.62	$91.20