Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.65 / $45.65 / $145.19	Facility		$45.65	$45.65	$145.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.02 / $24.36 / $88.87	Professional		$15.02	$24.36	$88.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $287.51 / $296.14 / $304.76	Facility		$287.51	$296.14	$304.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.09 / $44.21 / $55.27	Professional		$34.09	$44.21	$55.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.19 / $30.99 / $241.12	Professional		$16.19	$30.99	$241.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $34.09 / $145.19 / $261.45	Facility		$34.09	$145.19	$261.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.99 / $34.09 / $294.86	Professional		$15.99	$34.09	$294.86
Midlands Facility/Professional Facility Modifier Low / Median / High Price $31.35 / $40.57 / $296.14	Facility		$31.35	$40.57	$296.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $28.22 / $40.57 / $186.28	Professional		$28.22	$40.57	$186.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $16.77 / $19.71 / $35.08	Professional		$16.77	$19.71	$35.08
United Facility/Professional Professional Modifier Low / Median / High Price $15.29 / $18.88 / $96.25	Professional		$15.29	$18.88	$96.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $27.73 / $35.10 / $41.30	Professional		$27.73	$35.10	$41.30