Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.62 / $68.52 / $302.39	Facility		$22.62	$68.52	$302.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.61 / $23.19 / $83.35	Professional		$12.61	$23.19	$83.35
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $22.78 / $87.00 / $87.00	Professional	25	$22.78	$87.00	$87.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.91 / $33.56 / $46.55	Professional		$21.91	$33.56	$46.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.90 / $21.25 / $60.46	Professional		$12.90	$21.25	$60.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.97 / $36.20 / $78.56	Facility		$16.97	$36.20	$78.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.21 / $35.92 / $358.00	Professional		$20.21	$35.92	$358.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $24.82 / $33.56 / $43.33	Facility		$24.82	$33.56	$43.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $24.82 / $33.56 / $43.33	Professional		$24.82	$33.56	$43.33
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,699.87 / $3,681.41 / $7,494.26	Facility		$1,699.87	$3,681.41	$7,494.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.24 / $13.35 / $27.35	Professional		$6.24	$13.35	$27.35
United Facility/Professional Professional Modifier Low / Median / High Price $17.52 / $31.48 / $43.33	Professional		$17.52	$31.48	$43.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $22.67 / $28.70 / $33.79	Professional		$22.67	$28.70	$33.79