Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.24 / $39.20 / $69.26	Professional		$30.24	$39.20	$69.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.43 / $71.48 / $102.91	Professional		$35.43	$71.48	$102.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $29.96 / $47.17 / $114.37	Professional		$29.96	$47.17	$114.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $37.39 / $67.73 / $81.05	Facility		$37.39	$67.73	$81.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.25 / $78.01 / $514.16	Professional		$44.25	$78.01	$514.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $47.71 / $71.31 / $83.76	Facility		$47.71	$71.31	$83.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $57.47 / $71.48 / $83.76	Professional		$57.47	$71.48	$83.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $26.82 / $34.00 / $101.20	Professional		$26.82	$34.00	$101.20
United Facility/Professional Professional Modifier Low / Median / High Price $41.14 / $62.06 / $105.51	Professional		$41.14	$62.06	$105.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $35.86 / $45.40 / $53.40	Professional		$35.86	$45.40	$53.40