Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.03 / $156.88 / $7,728.83	Facility		$78.03	$156.88	$7,728.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $41.91 / $6,732.00	Professional		$40.29	$41.91	$6,732.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.27 / $48.27 / $48.27	Facility		$48.27	$48.27	$48.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $48.18 / $67.84	Professional		$40.29	$48.18	$67.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $45.75 / $167.69	Professional		$40.29	$45.75	$167.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $44.59 / $67.39 / $82.94	Facility		$44.59	$67.39	$82.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.59 / $49.64 / $233.37	Professional		$44.59	$49.64	$233.37
Midlands Facility/Professional Facility Modifier Low / Median / High Price $56.18 / $73.31 / $103.68	Facility		$56.18	$73.31	$103.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $53.51 / $64.66 / $190.69	Professional		$53.51	$64.66	$190.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $79.98 / $85.79	Professional		$40.29	$79.98	$85.79
United Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $41.10 / $48.35	Professional		$40.29	$41.10	$48.35
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $44.59 / $44.59 / $44.59	Facility		$44.59	$44.59	$44.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $35.22 / $44.59 / $44.59	Professional		$35.22	$44.59	$44.59