Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.01 / $62.53 / $66.77	Professional		$39.01	$62.53	$66.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.32 / $90.00 / $112.50	Professional		$33.32	$90.00	$112.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $62.17 / $76.83 / $86.98	Professional		$62.17	$76.83	$86.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.88 / $77.29 / $150.72	Facility		$60.88	$77.29	$150.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.63 / $38.56 / $76.00	Professional		$34.63	$38.56	$76.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $76.00 / $85.02 / $150.72	Facility		$76.00	$85.02	$150.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $76.98 / $150.72	Professional		$68.50	$76.98	$150.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $77.29 / $79.26 / $141.47	Professional		$77.29	$79.26	$141.47
United Facility/Professional Professional Modifier Low / Median / High Price $34.63 / $38.56 / $66.20	Professional		$34.63	$38.56	$66.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $69.56 / $69.56	Professional		$54.95	$69.56	$69.56