Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.24 / $95.49 / $173.05	Facility		$42.24	$95.49	$173.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.02 / $46.67 / $355.52	Professional		$27.02	$46.67	$355.52
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 / $63.51 / $111.04	Professional		$35.09	$63.51	$111.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $54.12 / $110.01	Facility		$35.09	$54.12	$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 $156.59 / $415.83 / $718.23	Facility		$156.59	$415.83	$718.23
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