Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $194.98 / $204.17	Facility		$25.12	$194.98	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.95 / $27.54	Professional		$15.14	$19.95	$27.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $43.65 / $54.95	Professional		$19.05	$43.65	$54.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $28.18 / $60.26	Professional		$18.62	$28.18	$60.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $28.84 / $288.40	Facility		$17.78	$28.84	$288.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $27.54 / $120.23	Professional		$19.05	$27.54	$120.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $36.31 / $50.12	Professional		$26.30	$36.31	$50.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $50.12 / $67.61	Professional		$28.84	$50.12	$67.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Professional		$52.48	$52.48	$52.48
United Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $331.13 / $436.52	Facility		$190.55	$331.13	$436.52
United Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $24.55 / $39.81	Professional		$18.62	$24.55	$39.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $26.92 / $32.36	Professional		$21.38	$26.92	$32.36