Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.20 / $51.47 / $56.05	Professional		$42.20	$51.47	$56.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.54 / $72.75 / $90.94	Professional		$29.54	$72.75	$90.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $50.89 / $59.60 / $70.12	Professional		$50.89	$59.60	$70.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $47.23 / $63.61 / $90.45	Facility		$47.23	$63.61	$90.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.34 / $31.73 / $63.47	Professional		$29.34	$31.73	$63.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $63.35 / $69.97 / $124.04	Facility		$63.35	$69.97	$124.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $56.36 / $63.35 / $124.04	Professional		$56.36	$63.35	$124.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $64.88 / $115.81	Professional		$35.00	$64.88	$115.81
United Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $31.73 / $40.63	Professional		$25.59	$31.73	$40.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $45.23 / $57.25 / $57.25	Professional		$45.23	$57.25	$57.25