Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.94 / $66.00 / $88.04	Professional		$55.94	$66.00	$88.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.15 / $121.88 / $152.34	Professional		$39.15	$121.88	$152.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $69.41 / $84.96 / $105.11	Professional		$69.41	$84.96	$105.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.57 / $81.20 / $115.99	Facility		$60.57	$81.20	$115.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.63 / $40.70 / $81.40	Professional		$37.63	$40.70	$81.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $81.25 / $89.74 / $159.08	Facility		$81.25	$89.74	$159.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $73.48 / $85.00 / $159.08	Professional		$73.48	$85.00	$159.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $107.21 / $191.37	Professional		$20.00	$107.21	$191.37
United Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $40.70 / $49.97	Professional		$33.92	$40.70	$49.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $58.00 / $73.42 / $73.42	Professional		$58.00	$73.42	$73.42