Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.08 / $60.08 / $71.66	Facility		$60.08	$60.08	$71.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.32 / $55.39 / $92.50	Professional		$39.32	$55.39	$92.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $119.46	Facility		$65.00	$65.00	$119.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $107.63 / $136.68	Professional		$65.00	$107.63	$136.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $88.26 / $107.69 / $129.28	Professional		$88.26	$107.69	$129.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $62.70 / $121.84 / $425.46	Facility		$62.70	$121.84	$425.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $49.14 / $55.52 / $166.57	Professional		$49.14	$55.52	$166.57
Midlands Facility/Professional Facility Modifier Low / Median / High Price $119.46 / $127.00 / $167.45	Facility		$119.46	$127.00	$167.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $121.84 / $144.63 / $243.67	Professional		$121.84	$144.63	$243.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $99.10 / $99.10 / $187.20	Professional		$99.10	$99.10	$187.20
United Facility/Professional Professional Modifier Low / Median / High Price $45.56 / $52.67 / $84.36	Professional		$45.56	$52.67	$84.36
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $108.60 / $108.60 / $108.60	Facility		$108.60	$108.60	$108.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $85.79 / $108.60 / $108.60	Professional		$85.79	$108.60	$108.60