Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.03 / $52.62 / $108.69	Professional		$30.03	$52.62	$108.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.32 / $116.88 / $162.63	Professional		$55.32	$116.88	$162.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.63 / $78.51 / $150.81	Professional		$23.63	$78.51	$150.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.62 / $106.82 / $1,204.00	Facility		$60.62	$106.82	$1,204.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $60.62 / $114.82 / $428.32	Professional		$60.62	$114.82	$428.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $55.31 / $95.00 / $144.38	Facility		$55.31	$95.00	$144.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $55.31 / $90.52 / $156.65	Professional		$55.31	$90.52	$156.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $83.50 / $159.60	Professional		$3.00	$83.50	$159.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,607.00 / $2,126.00	Facility		$1,204.00	$1,607.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $59.19 / $104.07 / $164.46	Professional		$59.19	$104.07	$164.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $47.90 / $56.40 / $125.30	Professional		$47.90	$56.40	$125.30