Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.61 / $58.12 / $77.66	Professional		$42.61	$58.12	$77.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.71 / $92.82 / $130.90	Professional		$50.71	$92.82	$130.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $42.68 / $59.09 / $160.12	Professional		$42.68	$59.09	$160.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $57.78 / $81.42 / $348.77	Professional		$57.78	$81.42	$348.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $74.92 / $91.07 / $130.90	Professional		$74.92	$91.07	$130.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $60.50 / $60.50 / $150.10	Professional		$60.50	$60.50	$150.10
United Facility/Professional Professional Modifier Low / Median / High Price $55.16 / $73.43 / $119.93	Professional		$55.16	$73.43	$119.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $59.20 / $69.70	Professional		$46.77	$59.20	$69.70