Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $107.15 / $229.09	Facility		$33.88	$107.15	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $39.81 / $89.13	Professional		$33.11	$39.81	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Facility		$46.77	$46.77	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $95.50 / $120.23	Professional		$48.98	$95.50	$120.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $60.26 / $107.15	Professional		$38.90	$60.26	$107.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $77.62 / $181.97	Facility		$38.90	$77.62	$181.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $58.88 / $257.04	Professional		$33.11	$58.88	$257.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $93.33 / $107.15	Professional		$66.07	$93.33	$107.15
Midlands Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Facility		$46.77	$46.77	$46.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $93.33 / $147.91	Professional		$77.62	$93.33	$147.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $41.69 / $81.28	Professional		$37.15	$41.69	$81.28
United Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $83.18	Facility		$56.23	$56.23	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $47.86 / $114.82	Professional		$32.36	$47.86	$114.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $87.10	Professional		$74.13	$74.13	$87.10