Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.69 / $37.09 / $43.77	Facility		$24.69	$37.09	$43.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.89 / $40.90 / $179.00	Professional		$28.89	$40.90	$179.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.04 / $110.25 / $113.46	Facility		$107.04	$110.25	$113.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.17 / $82.86 / $95.99	Professional		$71.17	$82.86	$95.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $29.90 / $58.80 / $212.00	Professional		$29.90	$58.80	$212.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.07 / $79.00 / $229.78	Facility		$45.07	$79.00	$229.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $35.32 / $67.43 / $787.00	Professional		$35.32	$67.43	$787.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $63.16 / $73.55 / $113.46	Facility		$63.16	$73.55	$113.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $63.16 / $71.17 / $117.00	Professional		$63.16	$71.17	$117.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $59.30 / $71.40 / $130.80	Professional		$59.30	$71.40	$130.80
United Facility/Professional Professional Modifier Low / Median / High Price $33.78 / $39.99 / $76.34	Professional		$33.78	$39.99	$76.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $59.30 / $59.30 / $69.80	Professional		$59.30	$59.30	$69.80