Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.87 / $47.95 / $54.83	Facility		$21.87	$47.95	$54.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.49 / $26.35 / $36.84	Professional		$23.49	$26.35	$36.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $93.94 / $96.67	Facility		$91.20	$93.94	$96.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.44 / $89.70 / $160.96	Professional		$28.44	$89.70	$160.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $26.97 / $68.95 / $102.97	Professional		$26.97	$68.95	$102.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.34 / $43.90 / $95.24	Facility		$21.34	$43.90	$95.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $65.56 / $304.74	Professional		$47.00	$65.56	$304.74
Midlands Facility/Professional Facility Modifier Low / Median / High Price $19.63 / $54.48 / $96.67	Facility		$19.63	$54.48	$96.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19.63 / $57.00 / $110.07	Professional		$19.63	$57.00	$110.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $9.50 / $17.35 / $65.62	Professional		$9.50	$17.35	$65.62
United Facility/Professional Professional Modifier Low / Median / High Price $50.35 / $65.56 / $105.74	Professional		$50.35	$65.56	$105.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $39.65 / $50.20 / $59.10	Professional		$39.65	$50.20	$59.10