Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $26.30 / $42.66	Facility		$21.38	$26.30	$42.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $21.88 / $36.31	Professional		$20.89	$21.88	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $23.99 / $30.20	Professional		$22.39	$23.99	$30.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $52.48 / $89.13	Professional		$43.65	$52.48	$89.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $23.99 / $36.31	Facility		$21.38	$23.99	$36.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $24.55 / $100.00	Professional		$21.88	$24.55	$100.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $31.62 / $36.31	Professional		$28.18	$31.62	$36.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $33.11 / $58.88	Professional		$31.62	$33.11	$58.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $43.65 / $52.48	Professional		$30.20	$43.65	$52.48
United Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $23.44 / $23.44	Facility		$23.44	$23.44	$23.44
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $26.30	Professional		$21.88	$21.88	$26.30
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Facility		$25.70	$25.70	$25.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $25.70 / $25.70	Professional		$20.42	$25.70	$25.70