Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.13 / $48.23 / $58.21	Professional		$35.13	$48.23	$58.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $92.25 / $115.31	Professional		$28.61	$92.25	$115.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $50.67 / $59.61 / $79.48	Professional		$50.67	$59.61	$79.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $49.93 / $63.63 / $116.24	Facility		$49.93	$63.63	$116.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.49 / $29.74 / $58.00	Professional		$27.49	$29.74	$58.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $58.00 / $65.56 / $116.24	Facility		$58.00	$65.56	$116.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $52.82 / $59.36 / $116.24	Professional		$52.82	$59.36	$116.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $81.06 / $144.71	Professional		$50.00	$81.06	$144.71
United Facility/Professional Professional Modifier Low / Median / High Price $23.75 / $29.74 / $39.82	Professional		$23.75	$29.74	$39.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $42.38 / $53.65 / $53.65	Professional		$42.38	$53.65	$53.65