Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $66.07 / $229.09	Facility		$35.48	$66.07	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $32.36 / $114.82	Professional		$23.99	$32.36	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $97.72 / $100.00	Facility		$95.50	$97.72	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $66.07 / $83.18	Professional		$45.71	$66.07	$83.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $61.66 / $138.04	Professional		$38.90	$61.66	$138.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $41.69 / $89.13	Facility		$35.48	$41.69	$89.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $35.48 / $141.25	Professional		$20.89	$35.48	$141.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $45.71 / $141.25	Professional		$41.69	$45.71	$141.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $38.02 / $74.13	Professional		$33.88	$38.02	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $81.28	Facility		$35.48	$35.48	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $89.13	Professional		$20.89	$20.89	$89.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Professional		$35.48	$35.48	$35.48