Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.61 / $125.28 / $392.33	Facility		$38.61	$125.28	$392.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.52 / $46.02 / $168.32	Professional		$26.52	$46.02	$168.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.36 / $79.86 / $112.89	Professional		$54.36	$79.86	$112.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $28.51 / $58.93 / $108.40	Professional		$28.51	$58.93	$108.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $46.02 / $78.44 / $331.04	Facility		$46.02	$78.44	$331.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.25 / $79.78 / $295.04	Professional		$44.25	$79.78	$295.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $63.32 / $78.44 / $107.70	Facility		$63.32	$78.44	$107.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $58.25 / $78.44 / $109.28	Professional		$58.25	$78.44	$109.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.08 / $49.80 / $80.91	Professional		$28.08	$49.80	$80.91
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,640.00 / $2,126.00	Facility		$1,204.00	$1,640.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $40.67 / $61.97 / $115.42	Professional		$40.67	$61.97	$115.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $55.80 / $65.70 / $98.20	Professional		$55.80	$65.70	$98.20