Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.43 / $49.84 / $58.11	Professional		$39.43	$49.84	$58.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.56 / $91.88 / $114.84	Professional		$28.56	$91.88	$114.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $55.64 / $65.81 / $79.58	Professional		$55.64	$65.81	$79.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $44.18 / $59.35 / $84.61	Facility		$44.18	$59.35	$84.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.45 / $29.69 / $59.38	Professional		$27.45	$29.69	$59.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $59.26 / $65.45 / $116.04	Facility		$59.26	$65.45	$116.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $52.72 / $59.26 / $116.04	Professional		$52.72	$59.26	$116.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $80.93 / $144.46	Professional		$20.00	$80.93	$144.46
United Facility/Professional Professional Modifier Low / Median / High Price $23.71 / $29.69 / $38.01	Professional		$23.71	$29.69	$38.01
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $42.31 / $53.56 / $53.56	Professional		$42.31	$53.56	$53.56