Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Facility		$25.12	$25.12	$25.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $21.88 / $41.69	Professional		$16.98	$21.88	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $38.02 / $53.70	Professional		$20.42	$38.02	$53.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $28.18 / $104.71	Professional		$17.38	$28.18	$104.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $40.74 / $1,122.02	Facility		$18.62	$40.74	$1,122.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $43.65 / $199.53	Professional		$21.88	$43.65	$199.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $45.71 / $58.88	Professional		$38.02	$45.71	$58.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $50.12 / $60.26	Professional		$40.74	$50.12	$60.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $30.90 / $40.74	Professional		$16.98	$30.90	$40.74
United Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $933.25 / $1,230.27	Facility		$537.03	$933.25	$1,230.27
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $36.31 / $58.88	Professional		$20.42	$36.31	$58.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $34.67 / $40.74	Professional		$27.54	$34.67	$40.74