Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.39 / $52.39 / $68.70	Facility		$52.39	$52.39	$68.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.92 / $58.08 / $171.30	Professional		$42.92	$58.08	$171.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.50 / $93.68 / $141.44	Professional		$51.50	$93.68	$141.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $45.84 / $85.13 / $140.00	Professional		$45.84	$85.13	$140.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $49.49 / $83.64 / $118.68	Facility		$49.49	$83.64	$118.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.77 / $108.30 / $402.01	Professional		$66.77	$108.30	$402.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $63.85 / $94.63 / $136.41	Facility		$63.85	$94.63	$136.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $63.90 / $93.68 / $127.38	Professional		$63.90	$93.68	$127.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $71.56 / $85.25 / $112.42	Professional		$71.56	$85.25	$112.42
United Facility/Professional Professional Modifier Low / Median / High Price $65.36 / $80.93 / $144.61	Professional		$65.36	$80.93	$144.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $68.59 / $84.00 / $107.10	Professional		$68.59	$84.00	$107.10