Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $112.00 / $167.27	Facility		$51.31	$112.00	$167.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $60.00 / $189.20	Professional		$51.31	$60.00	$189.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.63 / $93.15 / $116.44	Professional		$61.63	$93.15	$116.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $56.44 / $89.79 / $144.16	Professional		$56.44	$89.79	$144.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $79.53 / $149.05	Facility		$51.31	$79.53	$149.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $51.33 / $174.79	Professional		$51.31	$51.33	$174.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $61.57 / $71.83 / $112.44	Facility		$61.57	$71.83	$112.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $61.57 / $85.07 / $133.87	Professional		$61.57	$85.07	$133.87
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $909.22 / $4,330.80 / $7,480.44	Facility		$909.22	$4,330.80	$7,480.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $49.92 / $51.31 / $91.59	Professional		$49.92	$51.31	$91.59
United Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $51.31 / $112.32	Professional		$51.31	$51.31	$112.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $51.31 / $51.31	Professional		$51.31	$51.31	$51.31