Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $83.31 / $152.80	Facility		$60.00	$83.31	$152.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.53 / $58.95 / $226.00	Professional		$39.53	$58.95	$226.00
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $37.27 / $37.27 / $45.66	Professional	CQ	$37.27	$37.27	$45.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $65.00	Facility		$50.00	$50.00	$65.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.90 / $74.31 / $105.69	Professional		$47.90	$74.31	$105.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $70.54 / $88.37 / $120.00	Professional		$70.54	$88.37	$120.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $43.85 / $87.93 / $316.37	Facility		$43.85	$87.93	$316.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $45.95 / $56.66 / $158.90	Professional		$45.95	$56.66	$158.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $74.20 / $102.75 / $138.96	Facility		$74.20	$102.75	$138.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $70.68 / $103.53 / $146.99	Professional		$70.68	$103.53	$146.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $64.61 / $88.11 / $122.99	Professional		$64.61	$88.11	$122.99
United Facility/Professional Professional Modifier Low / Median / High Price $43.87 / $53.63 / $88.63	Professional		$43.87	$53.63	$88.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $87.00 / $87.00 / $102.40	Professional		$87.00	$87.00	$102.40