Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.52 / $114.66 / $288.83	Facility		$65.52	$114.66	$288.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.10 / $66.38 / $136.80	Professional		$53.10	$66.38	$136.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.38 / $69.38 / $86.72	Professional		$69.38	$69.38	$86.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $59.74 / $128.59 / $150.00	Professional		$59.74	$128.59	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $82.97 / $131.30	Facility		$56.23	$82.97	$131.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.50 / $56.50 / $105.01	Professional		$56.50	$56.50	$105.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $71.19 / $93.08 / $131.30	Facility		$71.19	$93.08	$131.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $9.67 / $93.08 / $143.06	Professional		$9.67	$93.08	$143.06
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $400.98 / $400.98 / $400.98	Facility		$400.98	$400.98	$400.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $163.77 / $173.36 / $183.85	Professional		$163.77	$173.36	$183.85
United Facility/Professional Professional Modifier Low / Median / High Price $56.50 / $56.50 / $62.15	Professional		$56.50	$56.50	$62.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $6.36 / $8.05 / $8.05	Professional		$6.36	$8.05	$8.05