Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $95.50 / $223.87	Facility		$38.02	$95.50	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $34.67 / $77.62	Professional		$23.99	$34.67	$77.62
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 / $72.44 / $151.36	Professional		$35.48	$72.44	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $52.48 / $97.72	Facility		$35.48	$52.48	$97.72
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 $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
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