Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.22 / $45.28 / $31,972.68	Facility		$35.22	$45.28	$31,972.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $30.28 / $63.25	Professional		$29.98	$30.28	$63.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.44 / $32.52 / $41.63	Professional		$29.44	$32.52	$41.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $22.59 / $34.75 / $63.40	Professional		$22.59	$34.75	$63.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $35.22 / $52.22	Facility		$30.00	$35.22	$52.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $33.40 / $127.20	Professional		$30.00	$33.40	$127.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $34.68 / $44.37 / $57.62	Facility		$34.68	$44.37	$57.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $34.68 / $37.45 / $62.98	Professional		$34.68	$37.45	$62.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $31.30 / $59.41 / $62.63	Professional		$31.30	$59.41	$62.63
United Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $30.58 / $35.68	Professional		$29.98	$30.58	$35.68
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $32.83 / $32.83 / $32.83	Facility		$32.83	$32.83	$32.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $25.94 / $32.83 / $32.83	Professional		$25.94	$32.83	$32.83