Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.36 / $17.92 / $41.06	Professional		$8.36	$17.92	$41.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.72 / $26.25 / $54.21	Professional		$11.72	$26.25	$54.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.03 / $23.31 / $53.97	Professional		$8.03	$23.31	$53.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.43 / $20.41 / $41.87	Facility		$10.43	$20.41	$41.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.37 / $42.91 / $112.88	Professional		$21.37	$42.91	$112.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $12.62 / $32.40 / $54.21	Facility		$12.62	$32.40	$54.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $12.62 / $29.25 / $54.21	Professional		$12.62	$29.25	$54.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $38.50 / $61.20	Professional		$31.00	$38.50	$61.20
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $34.15 / $57.43	Professional		$22.91	$34.15	$57.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $16.70 / $20.39 / $52.80	Professional		$16.70	$20.39	$52.80