Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $363.08 / $5,370.32	Facility		$23.99	$363.08	$5,370.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $72.44 / $218.78	Professional		$15.49	$72.44	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $138.04 / $208.93	Professional		$35.48	$138.04	$208.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $75.86 / $151.36	Professional		$15.49	$75.86	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $128.82 / $1,380.38	Facility		$32.36	$128.82	$1,380.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $83.18 / $194.98	Professional		$41.69	$83.18	$194.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $91.20 / $173.78	Professional		$36.31	$91.20	$173.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $33.88 / $141.25	Professional		$14.45	$33.88	$141.25
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,202.26 / $2,344.23	Facility		$436.52	$1,202.26	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $51.29 / $128.82	Professional		$19.05	$51.29	$128.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $32.36 / $147.91	Professional		$27.54	$32.36	$147.91