Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.09 / $62.31 / $87.00	Professional		$49.09	$62.31	$87.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.50 / $86.50 / $86.50	Facility		$86.50	$86.50	$86.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $97.73 / $182.42	Professional		$50.00	$97.73	$182.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $56.51 / $77.43 / $138.94	Professional		$56.51	$77.43	$138.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $62.77 / $71.17 / $110.44	Facility		$62.77	$71.17	$110.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $122.32 / $445.68	Professional		$30.00	$122.32	$445.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $97.21 / $106.91 / $163.21	Facility		$97.21	$106.91	$163.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $90.07 / $119.00 / $179.41	Professional		$90.07	$119.00	$179.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.25 / $68.28 / $130.02	Professional		$6.25	$68.28	$130.02
United Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $78.37 / $180.37	Professional		$6.00	$78.37	$180.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $72.50 / $83.66 / $105.90	Professional		$72.50	$83.66	$105.90