Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.20 / $57.77 / $111.91	Facility		$43.20	$57.77	$111.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.84 / $32.57 / $164.00	Professional		$15.84	$32.57	$164.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $55.78 / $65.00	Facility		$50.00	$55.78	$65.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $50.37 / $96.10	Professional		$40.29	$50.37	$96.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $54.42 / $78.66	Professional		$42.28	$54.42	$78.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.41 / $55.78 / $214.95	Facility		$30.41	$55.78	$214.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.43 / $47.16 / $127.41	Professional		$34.43	$47.16	$127.41
Midlands Facility/Professional Facility Modifier Low / Median / High Price $49.72 / $58.79 / $94.63	Facility		$49.72	$58.79	$94.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $43.11 / $70.42 / $103.75	Professional		$43.11	$70.42	$103.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $43.46 / $59.18 / $83.98	Professional		$43.46	$59.18	$83.98
United Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $45.46 / $84.42	Professional		$32.22	$45.46	$84.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $59.10 / $59.10 / $69.59	Professional		$59.10	$59.10	$69.59