Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.04 / $163.38 / $275.31	Facility		$40.04	$163.38	$275.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $55.24 / $252.44	Professional		$30.23	$55.24	$252.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.02 / $71.16 / $88.94	Professional		$45.02	$71.16	$88.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $39.26 / $68.70 / $130.15	Professional		$39.26	$68.70	$130.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.26 / $60.75 / $179.72	Facility		$39.26	$60.75	$179.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.56 / $39.26 / $97.78	Professional		$23.56	$39.26	$97.78
Midlands Facility/Professional Facility Modifier Low / Median / High Price $41.57 / $71.98 / $120.75	Facility		$41.57	$71.98	$120.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $47.11 / $71.98 / $102.47	Professional		$47.11	$71.98	$102.47
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $828.69 / $8,300.31 / $14,336.91	Facility		$828.69	$8,300.31	$14,336.91
United Facility/Professional Facility Modifier Low / Median / High Price $39.26 / $39.26 / $90.30	Facility		$39.26	$39.26	$90.30
United Facility/Professional Professional Modifier Low / Median / High Price $23.56 / $28.46 / $99.29	Professional		$23.56	$28.46	$99.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $31.02 / $39.26 / $39.26	Professional		$31.02	$39.26	$39.26