Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $5,370.32 / $7,943.28	Facility		$33.88	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $25.70 / $61.66	Professional		$22.91	$25.70	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $63.10 / $69.18	Professional		$51.29	$63.10	$69.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $48.98 / $97.72	Professional		$25.12	$48.98	$97.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $64.57 / $1,905.46	Facility		$42.66	$64.57	$1,905.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $53.70 / $407.38	Professional		$33.88	$53.70	$407.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $61.66 / $102.33	Professional		$57.54	$61.66	$102.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $66.07 / $67.61	Professional		$50.12	$66.07	$67.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $67.61	Professional		$50.12	$60.26	$67.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $3,548.13	Facility		$1,148.15	$1,621.81	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $44.67 / $74.13	Professional		$29.51	$44.67	$74.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $43.65	Professional		$37.15	$37.15	$43.65