Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.68 / $145.00 / $546.25	Facility		$62.68	$145.00	$546.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.99 / $37.27 / $245.00	Professional		$32.99	$37.27	$245.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.45 / $77.68 / $97.10	Professional		$51.45	$77.68	$97.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $42.84 / $77.54 / $399.12	Professional		$42.84	$77.54	$399.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.84 / $66.15 / $134.30	Facility		$42.84	$66.15	$134.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $51.45 / $226.81	Professional		$25.70	$51.45	$226.81
Midlands Facility/Professional Facility Modifier Low / Median / High Price $51.41 / $87.28 / $134.30	Facility		$51.41	$87.28	$134.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $51.45 / $88.25 / $125.65	Professional		$51.45	$88.25	$125.65
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $244.31 / $244.31 / $244.31	Facility		$244.31	$244.31	$244.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $41.68 / $42.84 / $76.47	Professional		$41.68	$42.84	$76.47
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $103.77	Professional		$25.70	$25.70	$103.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $42.84 / $42.84 / $42.84	Professional		$42.84	$42.84	$42.84