Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.53 / $5,463.36 / $7,119.04	Facility		$95.53	$5,463.36	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $27.88 / $92.00	Professional		$17.00	$27.88	$92.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.57 / $41.08 / $52.59	Professional		$21.57	$41.08	$52.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.54 / $26.22 / $48.49	Professional		$15.54	$26.22	$48.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.84 / $37.64 / $1,607.00	Facility		$19.84	$37.64	$1,607.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.36 / $38.47 / $60.28	Professional		$21.36	$38.47	$60.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $31.00 / $41.08 / $54.60	Facility		$31.00	$41.08	$54.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $40.03 / $50.05	Professional		$31.00	$40.03	$50.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $25.70 / $33.95	Professional		$14.40	$25.70	$33.95
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 $19.23 / $26.70 / $49.47	Professional		$19.23	$26.70	$49.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $25.75 / $32.60 / $38.40	Professional		$25.75	$32.60	$38.40