Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $85.11 / $275.42	Facility		$51.29	$85.11	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $46.77 / $229.09	Professional		$25.70	$46.77	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $66.07 / $83.18	Professional		$45.71	$66.07	$83.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $69.18 / $123.03	Professional		$35.48	$69.18	$123.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $48.98 / $128.82	Facility		$35.48	$48.98	$128.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $45.71 / $194.98	Professional		$20.89	$45.71	$194.98
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 $426.58 / $1,380.38 / $3,890.45	Facility		$426.58	$1,380.38	$3,890.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $38.02 / $61.66	Professional		$33.88	$38.02	$61.66
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