Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.46 / $45.06 / $57.95	Professional		$35.46	$45.06	$57.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.82 / $66.00 / $82.50	Professional		$25.82	$66.00	$82.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $45.58 / $53.79 / $59.31	Professional		$45.58	$53.79	$59.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.94 / $53.56 / $76.48	Facility		$39.94	$53.56	$76.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.81 / $26.83 / $53.66	Professional		$24.81	$26.83	$53.66
Midlands Facility/Professional Facility Modifier Low / Median / High Price $53.58 / $59.17 / $104.89	Facility		$53.58	$59.17	$104.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $48.46 / $56.00 / $104.89	Professional		$48.46	$56.00	$104.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $58.11 / $103.73	Professional		$20.00	$58.11	$103.73
United Facility/Professional Professional Modifier Low / Median / High Price $22.36 / $26.83 / $34.01	Professional		$22.36	$26.83	$34.01
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $38.24 / $48.41 / $48.41	Professional		$38.24	$48.41	$48.41