Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.78 / $287.66 / $601.19	Facility		$31.78	$287.66	$601.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.35 / $47.29 / $176.15	Professional		$11.35	$47.29	$176.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.92 / $55.45 / $131.72	Professional		$13.92	$55.45	$131.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.66 / $56.78 / $118.15	Professional		$12.66	$56.78	$118.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.88 / $61.18 / $121.02	Facility		$14.88	$61.18	$121.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.30 / $94.15 / $248.17	Professional		$47.30	$94.15	$248.17
Midlands Facility/Professional Facility Modifier Low / Median / High Price $22.72 / $93.57 / $116.28	Facility		$22.72	$93.57	$116.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $22.72 / $81.08 / $121.02	Professional		$22.72	$81.08	$121.02
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,067.12 / $8,378.04 / $17,653.73	Facility		$3,067.12	$8,378.04	$17,653.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.90 / $44.56 / $91.05	Professional		$11.90	$44.56	$91.05
United Facility/Professional Professional Modifier Low / Median / High Price $53.78 / $75.68 / $127.24	Professional		$53.78	$75.68	$127.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $21.20 / $75.09	Professional		$17.00	$21.20	$75.09