Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.71 / $39.60 / $56.57	Professional		$34.71	$39.60	$56.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $65.00	Facility		$65.00	$65.00	$65.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $89.84 / $148.79	Professional		$40.11	$89.84	$148.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $33.79 / $48.91 / $175.81	Professional		$33.79	$48.91	$175.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $48.53 / $76.70 / $104.92	Facility		$48.53	$76.70	$104.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.18 / $84.41 / $227.75	Professional		$47.18	$84.41	$227.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $69.13 / $83.55 / $101.85	Facility		$69.13	$83.55	$101.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $77.34 / $98.48	Professional		$57.54	$77.34	$98.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $31.41 / $55.26 / $68.87	Professional		$31.41	$55.26	$68.87
United Facility/Professional Professional Modifier Low / Median / High Price $38.97 / $63.42 / $100.05	Professional		$38.97	$63.42	$100.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $48.82 / $61.80 / $72.80	Professional		$48.82	$61.80	$72.80