Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.14 / $76.14 / $76.14	Facility		$76.14	$76.14	$76.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.98 / $35.97 / $51.46	Professional		$23.98	$35.97	$51.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.63 / $54.54 / $87.18	Professional		$43.63	$54.54	$87.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.72 / $39.72 / $105.63	Professional		$19.72	$39.72	$105.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.43 / $70.92 / $152.54	Facility		$32.43	$70.92	$152.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $70.00 / $319.50	Professional		$35.09	$70.00	$319.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $42.93 / $64.78 / $90.00	Facility		$42.93	$64.78	$90.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $42.93 / $64.78 / $93.00	Professional		$42.93	$64.78	$93.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $32.56 / $54.51	Professional		$18.23	$32.56	$54.51
United Facility/Professional Facility Modifier Low / Median / High Price $1,151.00 / $1,775.00 / $3,560.25	Facility		$1,151.00	$1,775.00	$3,560.25
United Facility/Professional Professional Modifier Low / Median / High Price $30.70 / $57.62 / $95.18	Professional		$30.70	$57.62	$95.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $37.90 / $44.50 / $67.20	Professional		$37.90	$44.50	$67.20