Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.26 / $181.83 / $275.20	Facility		$96.26	$181.83	$275.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.89 / $27.66 / $79.09	Professional		$24.89	$27.66	$79.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.56 / $87.10 / $89.63	Facility		$84.56	$87.10	$89.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.72 / $68.26 / $85.33	Professional		$29.72	$68.26	$85.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $42.93 / $82.88	Professional		$25.70	$42.93	$82.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $37.36 / $58.95 / $239.94	Facility		$37.36	$58.95	$239.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.98 / $45.51 / $191.45	Professional		$26.98	$45.51	$191.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $54.00 / $62.61 / $99.61	Facility		$54.00	$62.61	$99.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $49.00 / $58.27 / $99.61	Professional		$49.00	$58.27	$99.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $26.45 / $48.52	Professional		$8.52	$26.45	$48.52
United Facility/Professional Facility Modifier Low / Median / High Price $113.45 / $185.63 / $239.94	Facility		$113.45	$185.63	$239.94
United Facility/Professional Professional Modifier Low / Median / High Price $26.77 / $32.13 / $55.96	Professional		$26.77	$32.13	$55.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $39.65 / $50.20 / $59.10	Professional		$39.65	$50.20	$59.10