Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.60 / $23.71 / $146.07	Facility		$15.60	$23.71	$146.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.48 / $15.60 / $56.80	Professional		$12.48	$15.60	$56.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.85 / $108.00 / $135.00	Professional		$28.85	$108.00	$135.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $65.40 / $76.69 / $168.89	Professional		$65.40	$76.69	$168.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.60 / $25.06 / $88.79	Facility		$15.60	$25.06	$88.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $13.00 / $42.80	Professional		$13.00	$13.00	$42.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $24.98 / $26.73 / $140.50	Facility		$24.98	$26.73	$140.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $26.73 / $88.79	Professional		$15.61	$26.73	$88.79
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,018.61 / $2,018.61 / $2,018.61	Facility		$2,018.61	$2,018.61	$2,018.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $79.41 / $83.43 / $88.41	Professional		$79.41	$83.43	$88.41
United Facility/Professional Facility Modifier Low / Median / High Price $97.66 / $97.66 / $97.66	Facility		$97.66	$97.66	$97.66
United Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $13.00 / $13.79	Professional		$13.00	$13.00	$13.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.27 / $13.00 / $13.00	Professional		$10.27	$13.00	$13.00