Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.74 / $53.45 / $70.41	Facility		$48.74	$53.45	$70.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $26.71 / $117.87	Professional		$26.71	$26.71	$117.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $34.29 / $47.06	Professional		$26.71	$34.29	$47.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $37.77 / $159.43	Professional		$26.71	$37.77	$159.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.29 / $50.05 / $86.47	Facility		$32.29	$50.05	$86.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.29 / $35.95 / $1,801.12	Professional		$32.29	$35.95	$1,801.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $36.38 / $47.53 / $70.00	Facility		$36.38	$47.53	$70.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $36.38 / $48.43 / $104.97	Professional		$36.38	$48.43	$104.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $53.60 / $88.20	Professional		$27.40	$53.60	$88.20
United Facility/Professional Facility Modifier Low / Median / High Price $50.03 / $50.03 / $50.03	Facility		$50.03	$50.03	$50.03
United Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $27.51 / $31.78	Professional		$26.71	$27.51	$31.78
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $35.33 / $35.33 / $35.33	Facility		$35.33	$35.33	$35.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $27.91 / $35.33 / $35.33	Professional		$27.91	$35.33	$35.33