Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $100.00 / $144.54	Facility		$52.48	$100.00	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $79.43 / $204.17	Professional		$58.88	$79.43	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $141.25 / $177.83	Professional		$85.11	$141.25	$177.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $120.23 / $269.15	Professional		$74.13	$120.23	$269.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $114.82 / $154.88	Facility		$70.79	$114.82	$154.88
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $35.48 / $35.48 / $35.48	Facility	AS	$35.48	$35.48	$35.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $125.89 / $467.74	Professional		$74.13	$125.89	$467.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $138.04 / $173.78	Professional		$112.20	$138.04	$173.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $154.88	Professional		$144.54	$144.54	$154.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $125.89 / $162.18	Professional		$70.79	$125.89	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $83.18 / $158.49	Professional		$74.13	$83.18	$158.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $120.23 / $134.90	Professional		$102.33	$120.23	$134.90