Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $27.83 / $95.88	Professional		$19.05	$27.83	$95.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $38.63 / $48.28	Professional		$32.00	$38.63	$48.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $31.54 / $33.22 / $60.15	Professional		$31.54	$33.22	$60.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.70 / $35.78 / $43.81	Facility		$22.70	$35.78	$43.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.26 / $21.22 / $85.88	Professional		$16.26	$21.22	$85.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $33.09 / $36.54 / $47.83	Facility		$33.09	$36.54	$47.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $29.44 / $37.97 / $54.62	Professional		$29.44	$37.97	$54.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $50.00 / $65.50	Professional		$24.70	$50.00	$65.50
United Facility/Professional Professional Modifier Low / Median / High Price $15.84 / $16.57 / $28.46	Professional		$15.84	$16.57	$28.46
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $29.91 / $29.91 / $29.91	Facility		$29.91	$29.91	$29.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $23.63 / $29.91 / $29.91	Professional		$23.63	$29.91	$29.91