Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.01 / $23.58 / $30.75	Professional		$17.01	$23.58	$30.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.00 / $41.25 / $59.24	Professional		$33.00	$41.25	$59.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.77 / $27.96 / $56.51	Professional		$23.77	$27.96	$56.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.53 / $30.96 / $50.65	Facility		$23.53	$30.96	$50.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.63 / $58.24 / $167.08	Professional		$32.63	$58.24	$167.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $37.84 / $43.67 / $61.67	Facility		$37.84	$43.67	$61.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $32.63 / $43.67 / $70.36	Professional		$32.63	$43.67	$70.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $41.90 / $41.90 / $66.09	Professional		$41.90	$41.90	$66.09
United Facility/Professional Professional Modifier Low / Median / High Price $27.73 / $46.89 / $68.56	Professional		$27.73	$46.89	$68.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $36.20 / $39.40 / $46.40	Professional		$36.20	$39.40	$46.40