Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.59 / $60.00 / $492.09	Facility		$17.59	$60.00	$492.09
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $57.50 / $86.82 / $98.90	Facility	CQ	$57.50	$86.82	$98.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.04 / $29.73 / $291.68	Professional		$16.04	$29.73	$291.68
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $26.46 / $26.46 / $26.46	Professional	CO	$26.46	$26.46	$26.46
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $13.27 / $27.98 / $98.62	Professional	CQ	$13.27	$27.98	$98.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.98 / $30.98 / $65.00	Facility		$30.98	$30.98	$65.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.67 / $30.11 / $90.08	Professional		$23.67	$30.11	$90.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $25.55 / $36.79 / $66.23	Professional		$25.55	$36.79	$66.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.56 / $43.15 / $127.16	Facility		$20.56	$43.15	$127.16
Medica Facility/Professional Facility Modifier CQ Low / Median / High Price $53.31 / $108.09 / $108.09	Facility	CQ	$53.31	$108.09	$108.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.03 / $28.59 / $82.39	Professional		$23.03	$28.59	$82.39
Midlands Facility/Professional Facility Modifier Low / Median / High Price $30.98 / $40.94 / $54.27	Facility		$30.98	$40.94	$54.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $33.56 / $41.94 / $60.63	Professional		$33.56	$41.94	$60.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $26.36 / $35.64 / $50.10	Professional		$26.36	$35.64	$50.10
United Facility/Professional Professional Modifier Low / Median / High Price $22.01 / $27.09 / $47.64	Professional		$22.01	$27.09	$47.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $35.00 / $41.20	Professional		$35.00	$35.00	$41.20