Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.35 / $586.46 / $6,066.00	Facility		$62.35	$586.46	$6,066.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.82 / $90.11 / $482.00	Professional		$32.82	$90.11	$482.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.15 / $61.35 / $136.60	Professional		$33.15	$61.35	$136.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.05 / $58.96 / $142.00	Professional		$23.05	$58.96	$142.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.69 / $64.69 / $1,623.00	Facility		$26.69	$64.69	$1,623.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $54.11 / $90.28 / $177.18	Professional		$54.11	$90.28	$177.18
Midlands Facility/Professional Facility Modifier Low / Median / High Price $47.32 / $94.73 / $152.44	Facility		$47.32	$94.73	$152.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $47.32 / $93.87 / $152.44	Professional		$47.32	$93.87	$152.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $19.54 / $42.28 / $89.36	Professional		$19.54	$42.28	$89.36
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 $54.81 / $79.63 / $162.21	Professional		$54.81	$79.63	$162.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $38.50 / $45.30 / $103.20	Professional		$38.50	$45.30	$103.20