Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.89 / $32.89 / $33.96	Facility		$32.89	$32.89	$33.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.97 / $45.54 / $386.45	Professional		$23.97	$45.54	$386.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.03 / $50.79 / $82.23	Professional		$30.03	$50.79	$82.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $29.72 / $44.22 / $94.52	Professional		$29.72	$44.22	$94.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.74 / $37.00 / $63.12	Facility		$27.74	$37.00	$63.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.22 / $58.23 / $190.59	Professional		$36.22	$58.23	$190.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $40.31 / $58.23 / $66.73	Facility		$40.31	$58.23	$66.73
Midlands Facility/Professional Professional Modifier Low / Median / High Price $40.31 / $58.23 / $84.69	Professional		$40.31	$58.23	$84.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $31.18 / $52.07 / $55.41	Professional		$31.18	$52.07	$55.41
United Facility/Professional Professional Modifier Low / Median / High Price $33.26 / $48.24 / $76.45	Professional		$33.26	$48.24	$76.45
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $34.36 / $42.10 / $43.50	Professional		$34.36	$42.10	$43.50