Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.68 / $67.59 / $140.88	Facility		$50.68	$67.59	$140.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.38 / $67.01 / $104.97	Professional		$53.38	$67.01	$104.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.87 / $86.87 / $86.87	Facility		$86.87	$86.87	$86.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $86.72 / $174.85	Professional		$48.00	$86.72	$174.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $60.80 / $84.59 / $125.68	Professional		$60.80	$84.59	$125.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.59 / $79.66 / $117.43	Facility		$67.59	$79.66	$117.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $109.55 / $488.57	Professional		$60.00	$109.55	$488.57
Midlands Facility/Professional Facility Modifier Low / Median / High Price $77.84 / $91.30 / $149.66	Facility		$77.84	$91.30	$149.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $75.56 / $105.97 / $198.76	Professional		$75.56	$105.97	$198.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $56.20 / $77.88 / $140.13	Professional		$56.20	$77.88	$140.13
United Facility/Professional Professional Modifier Low / Median / High Price $56.20 / $88.88 / $181.21	Professional		$56.20	$88.88	$181.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $77.20 / $90.77 / $114.90	Professional		$77.20	$90.77	$114.90