Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $70.79	Facility		$30.90	$30.90	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $52.48 / $123.03	Professional		$22.91	$52.48	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $117.49 / $165.96	Professional		$56.23	$117.49	$165.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $93.33 / $158.49	Professional		$32.36	$93.33	$158.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $117.49 / $1,380.38	Facility		$54.95	$117.49	$1,380.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $95.50 / $316.23	Professional		$56.23	$95.50	$316.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $109.65 / $158.49	Professional		$54.95	$109.65	$158.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $70.79 / $154.88	Professional		$56.23	$70.79	$154.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $91.20 / $158.49	Professional		$3.02	$91.20	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $1,202.26 / $2,344.23	Facility		$128.82	$1,202.26	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $61.66 / $131.83	Professional		$30.90	$61.66	$131.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $56.23 / $125.89	Professional		$47.86	$56.23	$125.89