Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.04 / $131.04 / $131.04	Facility		$131.04	$131.04	$131.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.97 / $23.32 / $80.33	Professional		$15.97	$23.32	$80.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.79 / $32.25 / $40.31	Professional		$29.79	$32.25	$40.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.77 / $29.71 / $50.39	Professional		$27.77	$29.71	$50.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.02 / $29.98 / $36.71	Facility		$19.02	$29.98	$36.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.62 / $17.78 / $71.94	Professional		$13.62	$17.78	$71.94
Midlands Facility/Professional Facility Modifier Low / Median / High Price $27.73 / $30.62 / $40.07	Facility		$27.73	$30.62	$40.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $24.66 / $31.83 / $45.76	Professional		$24.66	$31.83	$45.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.80 / $41.80 / $54.90	Professional		$20.80	$41.80	$54.90
United Facility/Professional Professional Modifier Low / Median / High Price $13.27 / $13.89 / $23.84	Professional		$13.27	$13.89	$23.84
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $25.06 / $25.06 / $25.06	Facility		$25.06	$25.06	$25.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $19.80 / $25.06 / $25.06	Professional		$19.80	$25.06	$25.06