Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.10 / $18.94 / $18.94	Professional		$11.10	$18.94	$18.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.47 / $31.33 / $34.22	Professional		$25.47	$31.33	$34.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.91 / $16.97 / $908.97	Professional		$10.91	$16.97	$908.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.10 / $31.74 / $1,607.00	Facility		$25.10	$31.74	$1,607.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.35 / $31.23 / $605.00	Professional		$15.35	$31.23	$605.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $19.30 / $29.02 / $36.47	Facility		$19.30	$29.02	$36.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $29.02 / $44.90	Professional		$21.00	$29.02	$44.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.80 / $22.70 / $29.50	Professional		$20.80	$22.70	$29.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,151.00 / $1,640.00 / $3,560.25	Facility		$1,151.00	$1,640.00	$3,560.25
United Facility/Professional Professional Modifier Low / Median / High Price $14.29 / $24.16 / $38.77	Professional		$14.29	$24.16	$38.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $22.10 / $22.10 / $26.00	Professional		$22.10	$22.10	$26.00