Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.39 / $77.45 / $104.79	Professional		$54.39	$77.45	$104.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.38 / $113.25 / $141.56	Professional		$44.38	$113.25	$141.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $78.05 / $92.46 / $102.31	Professional		$78.05	$92.46	$102.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $68.04 / $92.44 / $131.47	Facility		$68.04	$92.44	$131.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.65 / $46.13 / $92.26	Professional		$42.65	$46.13	$92.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $92.09 / $101.71 / $180.30	Facility		$92.09	$101.71	$180.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $83.29 / $99.00 / $180.30	Professional		$83.29	$99.00	$180.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $99.51 / $177.63	Professional		$35.00	$99.51	$177.63
United Facility/Professional Professional Modifier Low / Median / High Price $38.44 / $46.13 / $59.06	Professional		$38.44	$46.13	$59.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $65.73 / $83.21 / $83.21	Professional		$65.73	$83.21	$83.21