Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.53 / $87.12 / $225.00	Facility		$39.53	$87.12	$225.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.96 / $43.10 / $71.53	Professional		$19.96	$43.10	$71.53
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 $38.79 / $66.58 / $102.90	Professional		$38.79	$66.58	$102.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $38.34 / $62.36 / $87.20	Professional		$38.34	$62.36	$87.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $37.27 / $61.27 / $283.08	Facility		$37.27	$61.27	$283.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.29 / $46.64 / $137.62	Professional		$31.29	$46.64	$137.62
Midlands Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $77.43 / $122.85	Facility		$36.00	$77.43	$122.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $34.00 / $70.68 / $122.85	Professional		$34.00	$70.68	$122.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $56.81 / $77.17 / $110.58	Professional		$56.81	$77.17	$110.58
United Facility/Professional Professional Modifier Low / Median / High Price $32.65 / $44.44 / $80.59	Professional		$32.65	$44.44	$80.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $77.90 / $77.90 / $91.60	Professional		$77.90	$77.90	$91.60