Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $34.67 / $1,548.82	Professional		$25.70	$34.67	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $42.66 / $66.07	Professional		$34.67	$42.66	$66.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $52.48 / $426.58	Professional		$31.62	$52.48	$426.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $69.18 / $1,905.46	Facility		$33.11	$69.18	$1,905.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $52.48 / $120.23	Professional		$35.48	$52.48	$120.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $52.48 / $83.18	Professional		$40.74	$52.48	$83.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $83.18 / $87.10	Professional		$38.02	$83.18	$87.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $54.95 / $81.28	Professional		$50.12	$54.95	$81.28
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 $35.48 / $51.29 / $87.10	Professional		$35.48	$51.29	$87.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $74.13	Professional		$63.10	$63.10	$74.13