Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.91 / $69.33 / $73.06	Professional		$25.91	$69.33	$73.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.59 / $97.13 / $121.41	Professional		$89.59	$97.13	$121.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $83.72 / $88.67 / $151.53	Professional		$83.72	$88.67	$151.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $62.30 / $95.39 / $136.31	Facility		$62.30	$95.39	$136.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $51.37 / $207.88	Professional		$40.29	$51.37	$207.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $83.39 / $92.09 / $120.50	Facility		$83.39	$92.09	$120.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $77.47 / $95.71 / $140.09	Professional		$77.47	$95.71	$140.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $81.12 / $99.20 / $152.41	Professional		$81.12	$99.20	$152.41
United Facility/Professional Professional Modifier Low / Median / High Price $39.32 / $41.77 / $73.68	Professional		$39.32	$41.77	$73.68
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $75.34 / $75.34 / $75.34	Facility		$75.34	$75.34	$75.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $59.53 / $75.34 / $75.34	Professional		$59.53	$75.34	$75.34