Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $52.48	Facility		$26.30	$26.30	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $18.20 / $33.88	Professional		$10.00	$18.20	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $24.55 / $57.54	Professional		$12.59	$24.55	$57.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $31.62 / $125.89	Professional		$12.02	$31.62	$125.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $24.55 / $46.77	Facility		$11.75	$24.55	$46.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $33.11 / $251.19	Professional		$20.42	$33.11	$251.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $33.88 / $58.88	Professional		$17.38	$33.88	$58.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $26.30 / $60.26	Professional		$15.14	$26.30	$60.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $41.69 / $56.23	Professional		$20.42	$41.69	$56.23
United Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $28.18	Facility		$15.14	$15.14	$28.18
United Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $22.39 / $41.69	Professional		$12.88	$22.39	$41.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $21.88 / $42.66	Professional		$18.20	$21.88	$42.66