Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.51 / $70.02 / $72.48	Professional		$46.51	$70.02	$72.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.20 / $97.88 / $122.34	Professional		$37.20	$97.88	$122.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $69.23 / $84.50 / $95.44	Professional		$69.23	$84.50	$95.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.40 / $86.55 / $123.10	Facility		$60.40	$86.55	$123.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $43.18 / $83.00	Professional		$38.65	$43.18	$83.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $83.00 / $95.21 / $168.77	Facility		$83.00	$95.21	$168.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $76.70 / $86.21 / $168.77	Professional		$76.70	$86.21	$168.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $88.28 / $157.58	Professional		$35.00	$88.28	$157.58
United Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $43.18 / $55.30	Professional		$32.22	$43.18	$55.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $61.54 / $77.90 / $77.90	Professional		$61.54	$77.90	$77.90