Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $72.44 / $501.19	Facility		$19.05	$72.44	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $23.99 / $87.10	Professional		$12.88	$23.99	$87.10
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $22.91 / $87.10 / $141.25	Professional	25	$22.91	$87.10	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Facility		$25.70	$25.70	$25.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $33.11 / $43.65	Professional		$22.39	$33.11	$43.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $22.39 / $64.57	Professional		$12.88	$22.39	$64.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $34.67 / $79.43	Facility		$15.49	$34.67	$79.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $34.67 / $354.81	Professional		$19.95	$34.67	$354.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $38.02 / $46.77	Professional		$32.36	$38.02	$46.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $38.90	Professional		$33.11	$33.11	$38.90
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,630.27 / $7,413.10	Facility		$1,862.09	$2,630.27	$7,413.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $15.49 / $33.11	Professional		$7.08	$15.49	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $30.20 / $45.71	Professional		$17.38	$30.20	$45.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $28.84 / $33.88	Professional		$22.91	$28.84	$33.88