Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.80 / $227.24 / $426.86	Facility		$135.80	$227.24	$426.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $156.88 / $500.63	Professional		$142.63	$156.88	$500.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.29 / $259.02 / $323.79	Professional		$171.29	$259.02	$323.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $154.46 / $192.55 / $347.90	Professional		$154.46	$192.55	$347.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $142.63 / $184.06 / $365.13	Facility		$142.63	$184.06	$365.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $140.93 / $148.35 / $538.12	Professional		$140.93	$148.35	$538.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $171.16 / $199.68 / $312.58	Facility		$171.16	$199.68	$312.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $171.16 / $236.71 / $372.47	Professional		$171.16	$236.71	$372.47
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $419.90 / $1,212.11 / $2,093.64	Facility		$419.90	$1,212.11	$2,093.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $138.78 / $142.63 / $254.59	Professional		$138.78	$142.63	$254.59
United Facility/Professional Professional Modifier Low / Median / High Price $138.06 / $144.03 / $538.12	Professional		$138.06	$144.03	$538.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $142.63 / $142.63	Professional		$142.63	$142.63	$142.63