Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.20 / $108.16 / $687.28	Facility		$56.20	$108.16	$687.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.71 / $22.92 / $87.00	Professional		$9.71	$22.92	$87.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.63 / $34.09 / $51.26	Professional		$24.63	$34.09	$51.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $18.35 / $51.19	Professional		$9.94	$18.35	$51.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.24 / $34.72 / $1,623.00	Facility		$15.24	$34.72	$1,623.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.18 / $27.77 / $804.00	Professional		$11.18	$27.77	$804.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $21.91 / $28.18 / $33.00	Facility		$21.91	$28.18	$33.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $28.18 / $37.69	Professional		$21.48	$28.18	$37.69
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $56.71 / $194.54 / $336.02	Facility		$56.71	$194.54	$336.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.95 / $18.97 / $22.88	Professional		$10.95	$18.97	$22.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,623.00 / $2,126.00	Facility		$1,204.00	$1,623.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $22.55 / $45.97	Professional		$10.47	$22.55	$45.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $22.50 / $26.40	Professional		$17.78	$22.50	$26.40