Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.81 / $28.81 / $70.89	Facility		$28.81	$28.81	$70.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.81 / $29.50 / $90.00	Professional		$28.81	$29.50	$90.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.37 / $31.35 / $43.55	Professional		$16.37	$31.35	$43.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.57 / $67.56 / $106.27	Professional		$23.57	$67.56	$106.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.37 / $29.50 / $49.86	Facility		$16.37	$29.50	$49.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.73 / $33.79 / $678.95	Professional		$30.73	$33.79	$678.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $18.93 / $53.74	Facility		$15.14	$18.93	$53.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $22.79 / $52.55	Professional		$15.14	$22.79	$52.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $17.70 / $35.50 / $60.60	Professional		$17.70	$35.50	$60.60
United Facility/Professional Professional Modifier Low / Median / High Price $30.73 / $31.65 / $36.57	Professional		$30.73	$31.65	$36.57
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $35.65 / $35.65 / $35.65	Facility		$35.65	$35.65	$35.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $28.16 / $35.65 / $35.65	Professional		$28.16	$35.65	$35.65