Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.71 / $173.25 / $325.80	Facility		$54.71	$173.25	$325.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.80 / $28.80 / $72.80	Professional		$28.80	$28.80	$72.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.00 / $36.03 / $41.25	Professional		$33.00	$36.03	$41.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $358.56 / $366.12	Professional		$150.00	$358.56	$366.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $40.79 / $72.64	Facility		$36.00	$40.79	$72.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $60.00	Professional		$30.00	$30.00	$60.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $37.56 / $40.79 / $69.86	Facility		$37.56	$40.79	$69.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $36.03 / $44.16 / $69.86	Professional		$36.03	$44.16	$69.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $551.65 / $586.67 / $622.38	Professional		$551.65	$586.67	$622.38
United Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $33.00	Professional		$30.00	$30.00	$33.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $23.70 / $30.00 / $30.00	Professional		$23.70	$30.00	$30.00