Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.25 / $470.84 / $5,549.00	Facility		$165.25	$470.84	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.20 / $169.95 / $519.00	Professional		$102.20	$169.95	$519.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.56 / $268.25 / $371.05	Professional		$134.56	$268.25	$371.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $96.92 / $160.88 / $261.99	Professional		$96.92	$160.88	$261.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $129.25 / $232.39 / $1,204.00	Facility		$129.25	$232.39	$1,204.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $130.97 / $231.04 / $800.80	Professional		$130.97	$231.04	$800.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $129.66 / $224.55 / $321.20	Facility		$129.66	$224.55	$321.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $169.00 / $245.08 / $321.20	Professional		$169.00	$245.08	$321.20
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $455.30 / $1,666.56 / $2,435.73	Facility		$455.30	$1,666.56	$2,435.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $103.09 / $174.95 / $233.16	Professional		$103.09	$174.95	$233.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,151.00 / $1,775.00 / $3,560.25	Facility		$1,151.00	$1,775.00	$3,560.25
United Facility/Professional Professional Modifier Low / Median / High Price $122.25 / $171.65 / $310.30	Professional		$122.25	$171.65	$310.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $179.88 / $226.00 / $267.80	Professional		$179.88	$226.00	$267.80