Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $5,011.87 / $7,943.28	Facility		$15.85	$5,011.87	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $107.15 / $416.87	Professional		$12.88	$107.15	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $112.20 / $229.09	Professional		$15.14	$112.20	$229.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $87.10 / $234.42	Professional		$11.75	$87.10	$234.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $144.54 / $1,621.81	Facility		$20.89	$144.54	$1,621.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $144.54 / $323.59	Professional		$39.81	$144.54	$323.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $144.54 / $316.23	Professional		$20.89	$144.54	$316.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $39.81 / $213.80	Professional		$15.85	$39.81	$213.80
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 $21.38 / $83.18 / $239.88	Professional		$21.38	$83.18	$239.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $23.44 / $162.18	Professional		$19.95	$23.44	$162.18