Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.35 / $41.97 / $58.30	Professional		$26.35	$41.97	$58.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.51 / $68.56 / $92.20	Professional		$40.51	$68.56	$92.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.26 / $41.99 / $104.24	Professional		$18.26	$41.99	$104.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.25 / $74.94 / $331.04	Facility		$31.25	$74.94	$331.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $35.72 / $72.83 / $367.25	Professional		$35.72	$72.83	$367.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $38.57 / $64.04 / $92.81	Facility		$38.57	$64.04	$92.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $38.57 / $64.04 / $107.00	Professional		$38.57	$64.04	$107.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.90 / $29.50 / $52.19	Professional		$15.90	$29.50	$52.19
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 $31.26 / $58.80 / $96.91	Professional		$31.26	$58.80	$96.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $34.00 / $40.00 / $66.40	Professional		$34.00	$40.00	$66.40