Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.34 / $200.40 / $265.02	Facility		$108.34	$200.40	$265.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.69 / $15.87 / $54.40	Professional		$3.69	$15.87	$54.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.63 / $22.03 / $23.30	Professional		$17.63	$22.03	$23.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.33 / $18.07 / $38.65	Professional		$13.33	$18.07	$38.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.89 / $23.30 / $80.48	Facility		$12.89	$23.30	$80.48
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $7.27 / $7.27 / $7.27	Facility	AS	$7.27	$7.27	$7.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.66 / $24.48 / $68.58	Professional		$17.66	$24.48	$68.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $20.53 / $23.30 / $39.08	Facility		$20.53	$23.30	$39.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20.53 / $23.30 / $39.08	Professional		$20.53	$23.30	$39.08
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $142.63 / $835.57 / $1,443.25	Facility		$142.63	$835.57	$1,443.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $14.81 / $18.34 / $30.79	Professional		$14.81	$18.34	$30.79
United Facility/Professional Professional Modifier Low / Median / High Price $15.96 / $21.29 / $39.01	Professional		$15.96	$21.29	$39.01
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $22.70 / $22.70	Professional		$19.30	$22.70	$22.70