Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.54 / $251.55 / $1,160.40	Facility		$62.54	$251.55	$1,160.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.30 / $40.46 / $165.61	Professional		$11.30	$40.46	$165.61
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $5.65 / $15.77 / $25.12	Professional	52	$5.65	$15.77	$25.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.70 / $48.68 / $103.29	Professional		$16.70	$48.68	$103.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $47.60 / $107.65	Professional		$12.30	$47.60	$107.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.80 / $48.69 / $89.46	Facility		$15.80	$48.69	$89.46
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $42.38 / $42.38 / $42.38	Facility	52	$42.38	$42.38	$42.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.45 / $74.08 / $243.34	Professional		$37.45	$74.08	$243.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $25.22 / $69.11 / $101.35	Facility		$25.22	$69.11	$101.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $25.22 / $69.17 / $103.29	Professional		$25.22	$69.17	$103.29
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $570.61 / $3,584.80 / $6,191.92	Facility		$570.61	$3,584.80	$6,191.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $48.50 / $48.50 / $48.50	Professional		$48.50	$48.50	$48.50
United Facility/Professional Professional Modifier Low / Median / High Price $40.56 / $56.18 / $106.36	Professional		$40.56	$56.18	$106.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $23.40 / $28.60 / $85.60	Professional		$23.40	$28.60	$85.60