Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.33 / $3.33 / $3.54	Professional		$3.33	$3.33	$3.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.27 / $31.13 / $40.60	Professional		$28.27	$31.13	$40.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $22.27 / $25.87 / $48.49	Professional		$22.27	$25.87	$48.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.33 / $5.63 / $34.58	Facility		$3.33	$5.63	$34.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $19.13 / $86.39	Professional		$13.50	$19.13	$86.39
Midlands Facility/Professional Facility Modifier Low / Median / High Price $28.27 / $30.53 / $56.41	Facility		$28.27	$30.53	$56.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $28.27 / $33.40 / $86.39	Professional		$28.27	$33.40	$86.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $43.40 / $43.40 / $52.80	Professional		$43.40	$43.40	$52.80
United Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $13.50 / $23.18	Professional		$13.50	$13.50	$23.18
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $23.13 / $23.13 / $23.13	Facility		$23.13	$23.13	$23.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $18.27 / $23.13 / $23.13	Professional		$18.27	$23.13	$23.13