Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.12 / $744.03 / $6,298.62	Facility		$67.12	$744.03	$6,298.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.92 / $83.47 / $338.61	Professional		$30.92	$83.47	$338.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.54 / $76.34 / $352.69	Professional		$54.54	$76.34	$352.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $24.62 / $50.08 / $586.33	Professional		$24.62	$50.08	$586.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $46.25 / $220.25 / $1,970.00	Facility		$46.25	$220.25	$1,970.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.07 / $100.66 / $1,928.00	Professional		$39.07	$100.66	$1,928.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $61.25 / $102.18 / $917.51	Facility		$61.25	$102.18	$917.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $61.25 / $102.18 / $380.21	Professional		$61.25	$102.18	$380.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $23.57 / $43.05 / $961.36	Professional		$23.57	$43.05	$961.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,482.00 / $5,454.00	Facility		$1,775.00	$3,482.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $34.19 / $77.76 / $353.15	Professional		$34.19	$77.76	$353.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $46.80 / $55.10 / $75.50	Professional		$46.80	$55.10	$75.50