Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.35 / $68.27 / $218.25	Facility		$40.35	$68.27	$218.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.02 / $32.28 / $225.63	Professional		$27.02	$32.28	$225.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.74 / $97.58 / $100.42	Facility		$94.74	$97.58	$100.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.14 / $63.32 / $79.15	Professional		$42.14	$63.32	$79.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $38.60 / $61.41 / $116.20	Professional		$38.60	$61.41	$116.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $45.28 / $89.83	Facility		$35.09	$45.28	$89.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $31.58 / $137.97	Professional		$21.05	$31.58	$137.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $42.11 / $64.17 / $100.42	Facility		$42.11	$64.17	$100.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $42.11 / $64.17 / $91.58	Professional		$42.11	$64.17	$91.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $34.14 / $35.09 / $62.64	Professional		$34.14	$35.09	$62.64
United Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $21.05 / $64.92	Professional		$21.05	$21.05	$64.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $35.09 / $35.09	Professional		$35.09	$35.09	$35.09