Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.35 / $37.78 / $53.29	Professional		$26.35	$37.78	$53.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.29 / $68.40 / $91.23	Professional		$41.29	$68.40	$91.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.43 / $41.77 / $97.29	Professional		$18.43	$41.77	$97.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.25 / $73.67 / $331.04	Facility		$31.25	$73.67	$331.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $35.33 / $70.58 / $315.83	Professional		$35.33	$70.58	$315.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $39.31 / $64.04 / $92.81	Facility		$39.31	$64.04	$92.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $64.04 / $95.00	Professional		$39.31	$64.04	$95.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.90 / $29.64 / $52.34	Professional		$15.90	$29.64	$52.34
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 $30.75 / $58.44 / $95.84	Professional		$30.75	$58.44	$95.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $34.70 / $40.79 / $66.40	Professional		$34.70	$40.79	$66.40