Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.94 / $366.07 / $5,549.00	Facility		$45.94	$366.07	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.18 / $83.24 / $231.00	Professional		$24.18	$83.24	$231.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.28 / $59.54 / $206.46	Professional		$34.28	$59.54	$206.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.54 / $70.06 / $123.03	Professional		$15.54	$70.06	$123.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.18 / $87.45 / $1,341.00	Facility		$24.18	$87.45	$1,341.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.80 / $91.87 / $265.61	Professional		$42.80	$91.87	$265.61
Midlands Facility/Professional Facility Modifier Low / Median / High Price $38.39 / $73.00 / $175.28	Facility		$38.39	$73.00	$175.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $79.81 / $175.28	Professional		$36.69	$79.81	$175.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $14.60 / $29.95 / $125.43	Professional		$14.60	$29.95	$125.43
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,623.00 / $2,126.00	Facility		$1,204.00	$1,623.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $62.33 / $83.51 / $142.59	Professional		$62.33	$83.51	$142.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $27.30 / $32.10 / $146.50	Professional		$27.30	$32.10	$146.50