Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.17 / $137.50 / $345.91	Facility		$44.17	$137.50	$345.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $29.97 / $68.51	Professional		$17.62	$29.97	$68.51
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $29.89 / $76.38 / $138.28	Professional	CQ	$29.89	$76.38	$138.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.60 / $42.60 / $65.00	Facility		$42.60	$42.60	$65.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.13 / $40.79 / $92.15	Professional		$32.13	$40.79	$92.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $29.26 / $45.29 / $62.57	Professional		$29.26	$45.29	$62.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.25 / $46.84 / $195.32	Facility		$23.25	$46.84	$195.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.64 / $38.00 / $117.19	Professional		$31.64	$38.00	$117.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $42.60 / $55.77 / $73.23	Facility		$42.60	$55.77	$73.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $44.36 / $56.23 / $85.85	Professional		$44.36	$56.23	$85.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.11 / $47.47 / $67.33	Professional		$35.11	$47.47	$67.33
United Facility/Professional Professional Modifier Low / Median / High Price $28.54 / $37.22 / $63.73	Professional		$28.54	$37.22	$63.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $47.10 / $47.10 / $55.40	Professional		$47.10	$47.10	$55.40