Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.74 / $80.98 / $121.20	Facility		$60.74	$80.98	$121.20
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $212.69 / $212.69 / $212.69	Facility	25	$212.69	$212.69	$212.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.50 / $70.39 / $200.31	Professional		$38.50	$70.39	$200.31
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $45.35 / $99.82 / $233.00	Professional	25	$45.35	$99.82	$233.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.86 / $95.00 / $162.75	Professional		$51.86	$95.00	$162.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $43.50 / $92.26 / $138.41	Professional		$43.50	$92.26	$138.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.63 / $91.64 / $139.38	Facility		$42.63	$91.64	$139.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $76.13 / $125.15 / $456.37	Professional		$76.13	$125.15	$456.37
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $79.94 / $106.58 / $218.20	Professional	25	$79.94	$106.58	$218.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $67.94 / $104.81 / $142.94	Facility		$67.94	$104.81	$142.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $70.76 / $104.81 / $147.63	Professional		$70.76	$104.81	$147.63
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $83.66 / $90.88 / $614.88	Facility		$83.66	$90.88	$614.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $44.37 / $78.61 / $130.75	Professional		$44.37	$78.61	$130.75
United Facility/Professional Professional Modifier Low / Median / High Price $73.37 / $96.66 / $166.26	Professional		$73.37	$96.66	$166.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $56.30 / $72.90 / $102.20	Professional		$56.30	$72.90	$102.20