Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.61 / $62.62 / $150.06	Facility		$41.61	$62.62	$150.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.02 / $44.75 / $222.64	Professional		$27.02	$44.75	$222.64
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 / $111.61	Professional		$35.09	$61.41	$111.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $47.10 / $98.41	Facility		$35.09	$47.10	$98.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $36.14 / $175.45	Professional		$21.05	$36.14	$175.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $42.11 / $71.48 / $100.48	Facility		$42.11	$71.48	$100.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $42.14 / $71.48 / $100.53	Professional		$42.14	$71.48	$100.53
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $318.08 / $631.25 / $1,090.33	Facility		$318.08	$631.25	$1,090.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $34.14 / $41.06 / $71.58	Professional		$34.14	$41.06	$71.58
United Facility/Professional Facility Modifier Low / Median / High Price $52.64 / $52.64 / $52.64	Facility		$52.64	$52.64	$52.64
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