Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.32 / $42.27 / $42.76	Professional		$18.32	$42.27	$42.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.50 / $62.42 / $70.91	Professional		$55.50	$62.42	$70.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $47.78 / $68.04 / $86.48	Professional		$47.78	$68.04	$86.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.17 / $62.11 / $74.88	Facility		$42.17	$62.11	$74.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.28 / $37.92 / $168.77	Professional		$25.28	$37.92	$168.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $59.89 / $62.42 / $78.47	Facility		$59.89	$62.42	$78.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $51.51 / $62.42 / $80.37	Professional		$51.51	$62.42	$80.37
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,258.51 / $6,182.94 / $17,312.16	Facility		$1,258.51	$6,182.94	$17,312.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $18.70 / $84.00 / $102.10	Professional		$18.70	$84.00	$102.10
United Facility/Professional Professional Modifier Low / Median / High Price $25.28 / $25.60 / $46.38	Professional		$25.28	$25.60	$46.38
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $49.27 / $49.27 / $49.27	Facility		$49.27	$49.27	$49.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $38.92 / $49.27 / $49.27	Professional		$38.92	$49.27	$49.27