Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $16.60 / $28.18	Facility		$14.13	$16.60	$28.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $23.44	Professional		$14.13	$14.13	$23.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.45 / $18.20	Professional		$14.13	$14.45	$18.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $26.92 / $42.66	Professional		$14.45	$26.92	$42.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $15.85 / $23.99	Facility		$14.13	$15.85	$23.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $15.85 / $61.66	Professional		$14.13	$15.85	$61.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $18.20 / $21.38	Professional		$16.60	$18.20	$21.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $18.20 / $50.12	Professional		$17.78	$18.20	$50.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $25.12 / $30.20	Professional		$15.49	$25.12	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Facility		$14.13	$14.13	$14.13
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $16.98	Professional		$14.13	$14.13	$16.98
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Facility		$15.49	$15.49	$15.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $15.49 / $15.49	Professional		$12.30	$15.49	$15.49