Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.94 / $63.71 / $79.79	Professional		$43.94	$63.71	$79.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.55 / $89.76 / $152.28	Professional		$68.55	$89.76	$152.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $49.07 / $57.26 / $180.52	Professional		$49.07	$57.26	$180.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.88 / $80.51 / $134.85	Facility		$54.88	$80.51	$134.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $71.47 / $120.33 / $856.96	Professional		$71.47	$120.33	$856.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $89.76 / $94.13 / $158.94	Facility		$89.76	$94.13	$158.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $88.00 / $104.93 / $158.94	Professional		$88.00	$104.93	$158.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $82.40 / $82.40 / $176.80	Professional		$82.40	$82.40	$176.80
United Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $100.70 / $150.86	Professional		$66.47	$100.70	$150.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $77.30 / $81.09 / $95.40	Professional		$77.30	$81.09	$95.40