Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.27 / $36.58 / $48.97	Professional		$32.27	$36.58	$48.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $56.25 / $70.31	Professional		$21.70	$56.25	$70.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $38.43 / $45.21 / $56.64	Professional		$38.43	$45.21	$56.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.56 / $45.05 / $64.28	Facility		$33.56	$45.05	$64.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.85 / $22.55 / $45.11	Professional		$20.85	$22.55	$45.11
Midlands Facility/Professional Facility Modifier Low / Median / High Price $45.03 / $49.73 / $88.16	Facility		$45.03	$49.73	$88.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $40.72 / $47.00 / $88.16	Professional		$40.72	$47.00	$88.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $49.39 / $88.16	Professional		$20.00	$49.39	$88.16
United Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $22.55 / $28.87	Professional		$18.80	$22.55	$28.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $40.69 / $40.69	Professional		$32.15	$40.69	$40.69