Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $175.72 / $582.04	Facility		$60.00	$175.72	$582.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.23 / $55.68 / $284.95	Professional		$48.23	$55.68	$284.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $61.19 / $65.00	Facility		$50.00	$61.19	$65.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.24 / $55.30 / $102.55	Professional		$44.24	$55.30	$102.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $51.91 / $65.48 / $178.52	Professional		$51.91	$65.48	$178.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $52.07 / $72.98 / $199.99	Facility		$52.07	$72.98	$199.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.43 / $50.36 / $143.88	Professional		$40.43	$50.36	$143.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $61.19 / $76.69 / $103.54	Facility		$61.19	$76.69	$103.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $59.14 / $83.19 / $115.27	Professional		$59.14	$83.19	$115.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $47.24 / $64.33 / $91.68	Professional		$47.24	$64.33	$91.68
United Facility/Professional Professional Modifier Low / Median / High Price $38.86 / $48.00 / $85.89	Professional		$38.86	$48.00	$85.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $64.59 / $64.59 / $76.00	Professional		$64.59	$64.59	$76.00