Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.24 / $95.49 / $246.42	Facility		$42.24	$95.49	$246.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.02 / $48.18 / $355.52	Professional		$27.02	$48.18	$355.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.14 / $131.87 / $164.83	Professional		$42.14	$131.87	$164.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $63.51 / $111.04	Professional		$35.09	$63.51	$111.04
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 / $196.86	Professional		$21.05	$42.14	$196.86
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 $141.50 / $328.69 / $567.73	Facility		$141.50	$328.69	$567.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $34.14 / $41.06 / $71.58	Professional		$34.14	$41.06	$71.58
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