Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $38.90 / $162.18	Professional		$33.11	$38.90	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $77.62 / $104.71	Professional		$48.98	$77.62	$104.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $52.48 / $204.17	Professional		$33.88	$52.48	$204.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $74.13 / $165.96	Facility		$38.90	$74.13	$165.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $79.43 / $229.09	Professional		$46.77	$79.43	$229.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $89.13 / $102.33	Professional		$74.13	$89.13	$102.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $85.11 / $97.72	Professional		$72.44	$85.11	$97.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $56.23 / $77.62	Professional		$30.90	$56.23	$77.62
United Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $33.11 / $46.77	Facility		$30.20	$33.11	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $63.10 / $102.33	Professional		$38.90	$63.10	$102.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $72.44	Professional		$61.66	$61.66	$72.44