Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.65 / $50.65 / $344.40	Facility		$50.65	$50.65	$344.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.87 / $31.29 / $65.86	Professional		$26.87	$31.29	$65.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.96 / $102.96 / $105.96	Facility		$99.96	$102.96	$105.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $72.92 / $91.14	Professional		$31.62	$72.92	$91.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.33 / $42.74 / $79.11	Professional		$27.33	$42.74	$79.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.32 / $63.54 / $239.94	Facility		$38.32	$63.54	$239.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.01 / $45.94 / $204.50	Professional		$28.01	$45.94	$204.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $66.90 / $106.44	Facility		$50.00	$66.90	$106.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $46.00 / $61.48 / $93.64	Professional		$46.00	$61.48	$93.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $42.00 / $91.90	Professional		$42.00	$42.00	$91.90
United Facility/Professional Professional Modifier Low / Median / High Price $28.01 / $35.72 / $58.94	Professional		$28.01	$35.72	$58.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $42.42 / $53.70 / $63.10	Professional		$42.42	$53.70	$63.10