Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $79.43 / $165.96	Facility		$40.74	$79.43	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $41.69 / $151.36	Professional		$37.15	$41.69	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $79.43 / $100.00	Professional		$69.18	$79.43	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $77.62 / $245.47	Professional		$45.71	$77.62	$245.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $50.12 / $95.50	Facility		$41.69	$50.12	$95.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $45.71 / $194.98	Professional		$39.81	$45.71	$194.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $53.70	Professional		$50.12	$50.12	$53.70
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $44.67 / $89.13	Professional		$39.81	$44.67	$89.13
United Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $95.50	Facility		$41.69	$41.69	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $41.69 / $91.20	Professional		$38.90	$41.69	$91.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69