Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.36 / $484.87 / $5,549.00	Facility		$19.36	$484.87	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.55 / $36.76 / $140.71	Professional		$5.55	$36.76	$140.71
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $1.60 / $3.16 / $6.37	Professional	52	$1.60	$3.16	$6.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.67 / $9.38 / $19.48	Professional		$4.67	$9.38	$19.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2.06 / $8.58 / $17.27	Professional		$2.06	$8.58	$17.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.20 / $10.19 / $1,607.00	Facility		$3.20	$10.19	$1,607.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.42 / $12.19 / $67.00	Professional		$5.42	$12.19	$67.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4.80 / $11.00 / $16.94	Facility		$4.80	$11.00	$16.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $11.00 / $19.00	Professional		$4.80	$11.00	$19.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1.89 / $6.01 / $11.58	Professional		$1.89	$6.01	$11.58
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 $6.56 / $9.11 / $17.55	Professional		$6.56	$9.11	$17.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3.60 / $4.20 / $14.00	Professional		$3.60	$4.20	$14.00