Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.02 / $165.53 / $223.01	Facility		$66.02	$165.53	$223.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.15 / $50.01 / $104.16	Professional		$41.15	$50.01	$104.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.46 / $95.23 / $98.01	Facility		$92.46	$95.23	$98.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.32 / $125.66 / $157.08	Professional		$43.32	$125.66	$157.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $47.94 / $70.76 / $129.22	Professional		$47.94	$70.76	$129.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $47.16 / $99.47 / $235.00	Facility		$47.16	$99.47	$235.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $49.08 / $75.78 / $352.17	Professional		$49.08	$75.78	$352.17
Midlands Facility/Professional Facility Modifier Low / Median / High Price $55.75 / $109.34 / $184.52	Facility		$55.75	$109.34	$184.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $55.75 / $103.19 / $145.32	Professional		$55.75	$103.19	$145.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $51.17 / $72.09 / $109.78	Professional		$51.17	$72.09	$109.78
United Facility/Professional Professional Modifier Low / Median / High Price $46.63 / $58.90 / $98.75	Professional		$46.63	$58.90	$98.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $79.31 / $100.40 / $118.20	Professional		$79.31	$100.40	$118.20