Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.40 / $48.40 / $48.40	Facility		$48.40	$48.40	$48.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.10 / $35.03 / $47.80	Professional		$30.10	$35.03	$47.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.87 / $129.65 / $133.41	Facility		$125.87	$129.65	$133.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.54 / $86.88 / $108.60	Professional		$37.54	$86.88	$108.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $32.47 / $54.88 / $79.77	Professional		$32.47	$54.88	$79.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $43.69 / $75.30 / $239.94	Facility		$43.69	$75.30	$239.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $56.58 / $243.52	Professional		$34.72	$56.58	$243.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $79.70 / $129.65	Facility		$66.00	$79.70	$129.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $56.82 / $74.54 / $121.86	Professional		$56.82	$74.54	$121.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $50.10 / $50.10 / $115.00	Professional		$50.10	$50.10	$115.00
United Facility/Professional Professional Modifier Low / Median / High Price $33.28 / $42.10 / $70.09	Professional		$33.28	$42.10	$70.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $50.48 / $63.90 / $75.20	Professional		$50.48	$63.90	$75.20