Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.33 / $95.49 / $190.98	Facility		$51.33	$95.49	$190.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.02 / $34.04 / $225.63	Professional		$27.02	$34.04	$225.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.14 / $63.32 / $79.15	Professional		$42.14	$63.32	$79.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $61.41 / $92.58	Professional		$35.09	$61.41	$92.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $54.36 / $110.01	Facility		$35.09	$54.36	$110.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $42.14 / $185.79	Professional		$21.05	$42.14	$185.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $42.11 / $71.48 / $110.01	Facility		$42.11	$71.48	$110.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $42.14 / $72.29 / $102.92	Professional		$42.14	$72.29	$102.92
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $329.70 / $329.70 / $329.70	Facility		$329.70	$329.70	$329.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $34.14 / $35.09 / $62.64	Professional		$34.14	$35.09	$62.64
United Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $21.05 / $85.00	Professional		$21.05	$21.05	$85.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $35.09 / $35.09	Professional		$35.09	$35.09	$35.09