Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.68 / $36.68 / $67.01	Facility		$16.68	$36.68	$67.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.64 / $18.13 / $50.97	Professional		$12.64	$18.13	$50.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.19 / $32.14 / $44.14	Professional		$26.19	$32.14	$44.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.17 / $22.73 / $81.50	Professional		$11.17	$22.73	$81.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.13 / $36.70 / $1,151.00	Facility		$18.13	$36.70	$1,151.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.95 / $35.40 / $297.00	Professional		$21.95	$35.40	$297.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $9.08 / $28.15 / $43.58	Facility		$9.08	$28.15	$43.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $24.16 / $32.36 / $44.33	Professional		$24.16	$32.36	$44.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.40 / $32.70 / $37.60	Professional		$28.40	$32.70	$37.60
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 $16.82 / $32.03 / $48.43	Professional		$16.82	$32.03	$48.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $22.70 / $26.70 / $32.60	Professional		$22.70	$26.70	$32.60