Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $36.31 / $42.66	Professional		$19.95	$36.31	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $56.23 / $70.79	Professional		$21.88	$56.23	$70.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $45.71 / $56.23	Professional		$38.02	$45.71	$56.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $44.67 / $64.57	Facility		$33.88	$44.67	$64.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $22.39 / $38.90	Professional		$18.62	$22.39	$38.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $89.13 / $89.13	Professional		$46.77	$89.13	$89.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $64.57 / $97.72	Professional		$45.71	$64.57	$97.72
United Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Facility		$45.71	$45.71	$45.71
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $22.39 / $28.84	Professional		$17.78	$22.39	$28.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Professional		$40.74	$40.74	$40.74