Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.61 / $106.86 / $115.00	Facility		$79.61	$106.86	$115.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $46.32 / $9,019.01	Professional		$46.32	$46.32	$9,019.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $50.25 / $79.43	Professional		$46.32	$50.25	$79.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $65.18 / $172.03	Professional		$46.32	$65.18	$172.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $52.74 / $68.50 / $111.78	Facility		$52.74	$68.50	$111.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $52.74 / $58.01 / $235.06	Professional		$52.74	$58.01	$235.06
Midlands Facility/Professional Facility Modifier Low / Median / High Price $55.62 / $81.15 / $121.52	Facility		$55.62	$81.15	$121.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $55.62 / $69.53 / $96.98	Professional		$55.62	$69.53	$96.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $91.79 / $96.76	Professional		$46.32	$91.79	$96.76
United Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $47.71 / $55.12	Professional		$46.32	$47.71	$55.12
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $57.72 / $57.72 / $57.72	Facility		$57.72	$57.72	$57.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $45.60 / $57.72 / $57.72	Professional		$45.60	$57.72	$57.72