Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $263.03 / $812.83	Facility		$32.36	$263.03	$812.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $158.49 / $281.84	Professional		$21.88	$158.49	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $120.23 / $416.87	Professional		$24.55	$120.23	$416.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $199.53 / $1,122.02	Professional		$18.20	$199.53	$1,122.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $229.09 / $549.54	Facility		$29.51	$229.09	$549.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $316.23 / $1,258.93	Professional		$162.18	$316.23	$1,258.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $380.19 / $512.86	Professional		$47.86	$380.19	$512.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $371.54 / $562.34	Professional		$40.74	$371.54	$562.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $141.25 / $331.13	Professional		$22.91	$141.25	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $851.14 / $1,071.52	Facility		$478.63	$851.14	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $154.88 / $363.08	Professional		$24.55	$154.88	$363.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $45.71 / $338.84	Professional		$37.15	$45.71	$338.84