Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.92 / $82.07 / $326.00	Professional		$65.92	$82.07	$326.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,478.00 / $1,478.00 / $1,863.00	Facility		$1,478.00	$1,478.00	$1,863.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.19 / $127.36 / $189.76	Professional		$68.19	$127.36	$189.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $68.25 / $102.98 / $300.41	Professional		$68.25	$102.98	$300.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.75 / $130.36 / $198.79	Facility		$77.75	$130.36	$198.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $82.11 / $143.47 / $848.55	Professional		$82.11	$143.47	$848.55
Midlands Facility/Professional Facility Modifier Low / Median / High Price $109.51 / $163.95 / $247.58	Facility		$109.51	$163.95	$247.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $101.00 / $146.94 / $187.74	Professional		$101.00	$146.94	$187.74
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $243.72 / $243.72 / $2,025.00	Facility		$243.72	$243.72	$2,025.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $63.31 / $114.51 / $137.34	Professional		$63.31	$114.51	$137.34
United Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $480.00 / $900.00	Facility		$480.00	$480.00	$900.00
United Facility/Professional Professional Modifier Low / Median / High Price $75.06 / $114.37 / $189.18	Professional		$75.06	$114.37	$189.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $102.23 / $129.40 / $158.30	Professional		$102.23	$129.40	$158.30