Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $102.33 / $281.84	Facility		$42.66	$102.33	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $56.23 / $251.19	Professional		$26.92	$56.23	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $138.04 / $173.78	Professional		$70.79	$138.04	$173.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $85.11 / $128.82	Professional		$35.48	$85.11	$128.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $50.12 / $109.65	Facility		$35.48	$50.12	$109.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $45.71 / $208.93	Professional		$20.89	$45.71	$208.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $45.71	Professional		$41.69	$41.69	$45.71
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $199.53 / $562.34	Facility		$141.25	$199.53	$562.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $38.02 / $74.13	Professional		$33.88	$38.02	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $81.28	Facility		$35.48	$35.48	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $21.88 / $95.50	Professional		$20.89	$21.88	$95.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Professional		$35.48	$35.48	$35.48