Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $77.62 / $346.74	Facility		$22.91	$77.62	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $28.84 / $199.53	Professional		$21.88	$28.84	$199.53
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $30.20 / $72.44 / $204.17	Professional	CQ	$30.20	$72.44	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $50.12 / $64.57	Facility		$42.66	$50.12	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $39.81 / $60.26	Professional		$32.36	$39.81	$60.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $48.98 / $79.43	Professional		$32.36	$48.98	$79.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $45.71 / $194.98	Facility		$24.55	$45.71	$194.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $44.67 / $144.54	Professional		$31.62	$44.67	$144.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $56.23 / $66.07	Professional		$46.77	$56.23	$66.07
Midlands Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Facility		$42.66	$42.66	$42.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $63.10	Professional		$48.98	$48.98	$63.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $47.86 / $75.86	Professional		$35.48	$47.86	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $40.74 / $57.54	Facility		$37.15	$40.74	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $35.48 / $67.61	Professional		$28.84	$35.48	$67.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $54.95	Professional		$46.77	$46.77	$54.95