Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $120.23 / $489.78	Facility		$53.70	$120.23	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $100.00 / $407.38	Professional		$53.70	$100.00	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $169.82	Professional		$134.90	$134.90	$169.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $117.49 / $229.09	Professional		$70.79	$117.49	$229.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $91.20 / $218.78	Facility		$47.86	$91.20	$218.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $87.10 / $416.87	Professional		$41.69	$87.10	$416.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Facility		$1,548.82	$1,548.82	$1,548.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $75.86 / $147.91	Professional		$67.61	$75.86	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $162.18	Facility		$70.79	$70.79	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $43.65 / $190.55	Professional		$41.69	$43.65	$190.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79