Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.36 / $43.45 / $64.14	Professional		$37.36	$43.45	$64.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.31 / $76.18 / $112.38	Professional		$50.31	$76.18	$112.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $97.09 / $525.54 / $788.68	Professional		$97.09	$525.54	$788.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $43.45 / $74.18 / $262.48	Facility		$43.45	$74.18	$262.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $62.74 / $95.84 / $480.58	Professional		$62.74	$95.84	$480.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $74.18 / $88.79 / $140.50	Facility		$74.18	$88.79	$140.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $74.18 / $99.63 / $140.50	Professional		$74.18	$99.63	$140.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $83.30 / $83.30 / $83.30	Professional		$83.30	$83.30	$83.30
United Facility/Professional Professional Modifier Low / Median / High Price $59.90 / $95.84 / $158.53	Professional		$59.90	$95.84	$158.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $112.02 / $141.80 / $141.80	Professional		$112.02	$141.80	$141.80