Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $7.06 / $9.05	Professional		$4.13	$7.06	$9.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.83 / $16.88 / $21.51	Professional		$10.83	$16.88	$21.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $74.48 / $187.76	Professional		$19.98	$74.48	$187.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.06 / $16.20 / $158.86	Facility		$7.06	$16.20	$158.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $7.66 / $68.90	Professional		$5.09	$7.66	$68.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $10.59 / $14.16 / $21.76	Facility		$10.59	$14.16	$21.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $10.83 / $14.79 / $21.70	Professional		$10.83	$14.79	$21.70
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $569.40 / $569.40 / $569.40	Facility		$569.40	$569.40	$569.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $26.40 / $26.40 / $28.90	Professional		$26.40	$26.40	$28.90
United Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.11 / $8.77	Professional		$5.05	$5.11	$8.77
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $115.10 / $115.10 / $115.10	Facility		$115.10	$115.10	$115.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $90.93 / $115.10 / $115.10	Professional		$90.93	$115.10	$115.10