Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.30 / $67.98 / $6,517.58	Facility		$43.30	$67.98	$6,517.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.09 / $1,532.64 / $7,200.00	Professional		$31.09	$1,532.64	$7,200.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.36 / $20.36 / $20.36	Facility		$20.36	$20.36	$20.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $16.20 / $20.25	Professional		$16.20	$16.20	$20.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $69.27 / $181.68	Professional		$19.98	$69.27	$181.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.68 / $19.68 / $113.55	Facility		$19.68	$19.68	$113.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.31 / $41.31 / $45.44	Professional		$41.31	$41.31	$45.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $17.32 / $23.10 / $56.55	Facility		$17.32	$23.10	$56.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19.09 / $65.20 / $121.82	Professional		$19.09	$65.20	$121.82
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,070.61 / $1,070.61 / $1,070.61	Facility		$1,070.61	$1,070.61	$1,070.61
United Facility/Professional Professional Modifier Low / Median / High Price $40.09 / $40.09 / $41.29	Professional		$40.09	$40.09	$41.29
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $40.50 / $40.50 / $40.50	Facility		$40.50	$40.50	$40.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $40.50 / $40.50 / $40.50	Professional		$40.50	$40.50	$40.50