Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.52 / $347.02 / $727.00	Facility		$70.52	$347.02	$727.00
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $250.56 / $346.89 / $831.00	Facility	25	$250.56	$346.89	$831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.25 / $44.06 / $131.01	Professional		$30.25	$44.06	$131.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.47 / $78.06 / $93.65	Professional		$41.47	$78.06	$93.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $39.28 / $59.51 / $186.01	Professional		$39.28	$59.51	$186.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $37.11 / $66.25 / $97.23	Facility		$37.11	$66.25	$97.23
Medica Facility/Professional Facility Modifier 25 Low / Median / High Price $126.37 / $126.37 / $126.37	Facility	25	$126.37	$126.37	$126.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $43.60 / $73.92 / $500.00	Professional		$43.60	$73.92	$500.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $57.00 / $77.77 / $104.84	Facility		$57.00	$77.77	$104.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $77.77 / $84.52	Professional		$54.00	$77.77	$84.52
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,087.95 / $1,087.95 / $2,937.47	Facility		$1,087.95	$1,087.95	$2,937.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $38.06 / $69.98 / $78.72	Professional		$38.06	$69.98	$78.72
United Facility/Professional Professional Modifier Low / Median / High Price $43.06 / $64.81 / $97.08	Professional		$43.06	$64.81	$97.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $54.43 / $68.90 / $68.90	Professional		$54.43	$68.90	$68.90