Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.17 / $122.25 / $227.69	Facility		$66.17	$122.25	$227.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.74 / $38.81 / $59.92	Professional		$34.74	$38.81	$59.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.58 / $46.58 / $46.58	Facility		$46.58	$46.58	$46.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.97 / $93.08 / $116.36	Professional		$38.97	$93.08	$116.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $39.11 / $54.63 / $105.30	Professional		$39.11	$54.63	$105.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $41.30 / $66.61 / $181.68	Facility		$41.30	$66.61	$181.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $35.75 / $59.15 / $191.50	Professional		$35.75	$59.15	$191.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $65.54 / $85.40 / $135.87	Facility		$65.54	$85.40	$135.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $74.72 / $85.40 / $135.87	Professional		$74.72	$85.40	$135.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $36.42 / $53.60 / $73.63	Professional		$36.42	$53.60	$73.63
United Facility/Professional Facility Modifier Low / Median / High Price $56.07 / $56.07 / $83.06	Facility		$56.07	$56.07	$83.06
United Facility/Professional Professional Modifier Low / Median / High Price $37.88 / $47.32 / $114.93	Professional		$37.88	$47.32	$114.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $58.46 / $74.00 / $87.00	Professional		$58.46	$74.00	$87.00