Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $144.54	Facility		$23.99	$23.99	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $18.20 / $114.82	Professional		$10.96	$18.20	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $295.12 / $302.00	Facility		$288.40	$295.12	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $45.71 / $56.23	Professional		$40.74	$45.71	$56.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $91.20 / $309.03	Professional		$18.20	$91.20	$309.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $141.25 / $263.03	Facility		$33.88	$141.25	$263.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $40.74 / $363.08	Professional		$15.85	$40.74	$363.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $40.74 / $257.04	Professional		$33.11	$40.74	$257.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $46.77	Professional		$44.67	$44.67	$46.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $19.50 / $38.02	Professional		$17.38	$19.50	$38.02
United Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $20.89 / $112.20	Professional		$15.14	$20.89	$112.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $35.48 / $41.69	Professional		$27.54	$35.48	$41.69