Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.33 / $82.95 / $233.10	Facility		$51.33	$82.95	$233.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.02 / $46.17 / $261.80	Professional		$27.02	$46.17	$261.80
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 / $61.41 / $105.00	Professional		$35.09	$61.41	$105.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $54.36 / $129.56	Facility		$35.09	$54.36	$129.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $42.11 / $185.79	Professional		$21.05	$42.11	$185.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $42.11 / $71.48 / $108.30	Facility		$42.11	$71.48	$108.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $42.14 / $71.48 / $102.92	Professional		$42.14	$71.48	$102.92
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $428.97 / $2,271.89 / $3,924.14	Facility		$428.97	$2,271.89	$3,924.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $34.14 / $35.09 / $62.64	Professional		$34.14	$35.09	$62.64
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