Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.20 / $165.93 / $491.30	Facility		$70.20	$165.93	$491.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.05 / $90.24 / $440.15	Professional		$54.05	$90.24	$440.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.97 / $127.30 / $159.12	Professional		$85.97	$127.30	$159.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $70.20 / $122.85 / $228.08	Professional		$70.20	$122.85	$228.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $47.91 / $91.34 / $220.08	Facility		$47.91	$91.34	$220.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.12 / $84.24 / $393.67	Professional		$42.12	$84.24	$393.67
Midlands Facility/Professional Facility Modifier Low / Median / High Price $84.24 / $143.00 / $220.08	Facility		$84.24	$143.00	$220.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $84.31 / $143.00 / $205.88	Professional		$84.31	$143.00	$205.88
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,536.15 / $1,536.15 / $1,536.15	Facility		$1,536.15	$1,536.15	$1,536.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $68.30 / $70.20 / $125.31	Professional		$68.30	$70.20	$125.31
United Facility/Professional Professional Modifier Low / Median / High Price $42.12 / $42.12 / $170.02	Professional		$42.12	$42.12	$170.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $70.20 / $70.20 / $70.20	Professional		$70.20	$70.20	$70.20