Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $40.54 / $67.31	Professional		$29.98	$40.54	$67.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.24 / $63.52 / $115.89	Professional		$42.24	$63.52	$115.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $42.42 / $61.56 / $134.11	Professional		$42.42	$61.56	$134.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.99 / $44.93 / $207.37	Facility		$28.99	$44.93	$207.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $54.47 / $110.84 / $365.28	Professional		$54.47	$110.84	$365.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $69.76 / $89.88 / $101.37	Facility		$69.76	$89.88	$101.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $71.56 / $92.98 / $145.51	Professional		$71.56	$92.98	$145.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $42.03 / $62.80 / $102.19	Professional		$42.03	$62.80	$102.19
United Facility/Professional Professional Modifier Low / Median / High Price $34.50 / $65.13 / $139.71	Professional		$34.50	$65.13	$139.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $54.19 / $68.59 / $88.60	Professional		$54.19	$68.59	$88.60