Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.21 / $32.07 / $62.80	Professional		$22.21	$32.07	$62.80
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $73.59 / $86.76 / $447.45	Professional	50	$73.59	$86.76	$447.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.96 / $50.09 / $81.81	Professional		$38.96	$50.09	$81.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.61 / $39.96 / $86.76	Professional		$17.61	$39.96	$86.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.20 / $55.46 / $392.86	Facility		$28.20	$55.46	$392.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.76 / $61.85 / $210.88	Professional		$32.76	$61.85	$210.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $22.69 / $46.66 / $83.20	Facility		$22.69	$46.66	$83.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $37.85 / $55.11 / $83.20	Professional		$37.85	$55.11	$83.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $16.76 / $29.06 / $51.39	Professional		$16.76	$29.06	$51.39
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 $28.67 / $51.05 / $88.87	Professional		$28.67	$51.05	$88.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $33.40 / $39.29 / $64.20	Professional		$33.40	$39.29	$64.20