Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.87 / $43.47 / $94.41	Facility		$19.87	$43.47	$94.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.16 / $16.77 / $47.00	Professional		$14.16	$16.77	$47.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.74 / $51.19 / $106.94	Facility		$49.74	$51.19	$106.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.35 / $48.33 / $61.51	Professional		$27.35	$48.33	$61.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $30.71 / $70.02	Professional		$17.38	$30.71	$70.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.97 / $47.37 / $70.22	Facility		$21.97	$47.37	$70.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.82 / $38.50 / $119.22	Professional		$22.82	$38.50	$119.22
Midlands Facility/Professional Facility Modifier Low / Median / High Price $27.35 / $41.72 / $80.67	Facility		$27.35	$41.72	$80.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $27.35 / $40.75 / $60.05	Professional		$27.35	$40.75	$60.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $16.32 / $29.15 / $42.07	Professional		$16.32	$29.15	$42.07
United Facility/Professional Professional Modifier Low / Median / High Price $22.74 / $23.50 / $55.35	Professional		$22.74	$23.50	$55.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $33.20 / $39.10 / $48.80	Professional		$33.20	$39.10	$48.80