Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.99 / $81.20 / $83.66	Professional		$50.99	$81.20	$83.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.24 / $114.00 / $142.50	Professional		$47.24	$114.00	$142.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $83.66 / $98.42 / $118.00	Professional		$83.66	$98.42	$118.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $82.44 / $98.42 / $191.92	Facility		$82.44	$98.42	$191.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $45.40 / $49.10 / $97.00	Professional		$45.40	$49.10	$97.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $108.26 / $191.92	Facility		$97.00	$108.26	$191.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $87.22 / $98.02 / $191.92	Professional		$87.22	$98.02	$191.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $100.39 / $179.20	Professional		$50.00	$100.39	$179.20
United Facility/Professional Professional Modifier Low / Median / High Price $40.92 / $49.10 / $72.02	Professional		$40.92	$49.10	$72.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $69.98 / $88.58 / $88.58	Professional		$69.98	$88.58	$88.58