Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $446.68 / $1,000.00	Facility		$102.33	$446.68	$1,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $269.15 / $758.58	Professional		$102.33	$269.15	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $186.21	Professional		$147.91	$147.91	$186.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $151.36 / $549.54	Professional		$134.90	$151.36	$549.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $173.78 / $275.42	Facility		$107.15	$173.78	$275.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $446.68 / $616.60	Professional		$177.83	$446.68	$616.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $173.78 / $275.42	Professional		$125.89	$173.78	$275.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $190.55 / $190.55	Professional		$125.89	$190.55	$190.55
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $5,754.40 / $7,762.47	Facility		$1,548.82	$5,754.40	$7,762.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $371.54 / $436.52	Professional		$323.59	$371.54	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $0.45 / $0.45 / $741.31	Facility		$0.45	$0.45	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $537.03	Professional		$446.68	$446.68	$537.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $251.19 / $251.19	Professional		$199.53	$251.19	$251.19