Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.07 / $86.36 / $158.44	Facility		$32.07	$86.36	$158.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.40 / $27.67 / $224.40	Professional		$22.40	$27.67	$224.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.79 / $92.48 / $95.18	Facility		$89.79	$92.48	$95.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $66.59 / $83.23	Professional		$42.13	$66.59	$83.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $31.03 / $46.94 / $79.56	Professional		$31.03	$46.94	$79.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.07 / $49.08 / $85.27	Facility		$32.07	$49.08	$85.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.75 / $34.65 / $100.74	Professional		$25.75	$34.65	$100.74
Midlands Facility/Professional Facility Modifier Low / Median / High Price $39.97 / $58.84 / $92.48	Facility		$39.97	$58.84	$92.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $33.04 / $58.84 / $83.26	Professional		$33.04	$58.84	$83.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $31.87 / $56.89 / $61.08	Professional		$31.87	$56.89	$61.08
United Facility/Professional Professional Modifier Low / Median / High Price $25.19 / $32.65 / $65.30	Professional		$25.19	$32.65	$65.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $60.50 / $71.09 / $71.09	Professional		$60.50	$71.09	$71.09