Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.73 / $23.73 / $28.79	Facility		$23.73	$23.73	$28.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.12 / $23.73 / $32.76	Professional		$12.12	$23.73	$32.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.17 / $25.17 / $43.53	Facility		$25.17	$25.17	$43.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.17 / $43.53 / $57.19	Professional		$25.17	$43.53	$57.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $33.63 / $39.57 / $60.88	Professional		$33.63	$39.57	$60.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.76 / $62.10 / $185.89	Facility		$32.76	$62.10	$185.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.18 / $20.70 / $102.88	Professional		$18.18	$20.70	$102.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $43.40 / $43.53 / $98.92	Facility		$43.40	$43.53	$98.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $35.07 / $49.87 / $86.05	Professional		$35.07	$49.87	$86.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $47.50 / $51.50 / $78.00	Professional		$47.50	$51.50	$78.00
United Facility/Professional Professional Modifier Low / Median / High Price $16.78 / $19.73 / $39.47	Professional		$16.78	$19.73	$39.47
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $37.59 / $37.59 / $37.59	Facility		$37.59	$37.59	$37.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $29.70 / $37.59 / $37.59	Professional		$29.70	$37.59	$37.59