Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.15 / $77.43 / $9,351.51	Facility		$72.15	$77.43	$9,351.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.31 / $75.17 / $5,784.60	Professional		$45.31	$75.17	$5,784.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.16 / $46.16 / $46.16	Facility		$46.16	$46.16	$46.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.98 / $48.14 / $57.47	Professional		$45.98	$48.14	$57.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $45.31 / $63.90 / $136.19	Professional		$45.31	$63.90	$136.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $47.80 / $54.15 / $75.17	Facility		$47.80	$54.15	$75.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.80 / $53.54 / $83.24	Professional		$47.80	$53.54	$83.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $52.96 / $69.69 / $92.92	Facility		$52.96	$69.69	$92.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $47.47 / $54.15 / $83.55	Professional		$47.47	$54.15	$83.55
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $8,534.95 / $8,534.95 / $8,534.95	Facility		$8,534.95	$8,534.95	$8,534.95
United Facility/Professional Professional Modifier Low / Median / High Price $45.31 / $50.75 / $53.84	Professional		$45.31	$50.75	$53.84
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $47.80 / $47.80 / $47.80	Facility		$47.80	$47.80	$47.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $47.80 / $47.80 / $47.80	Professional		$47.80	$47.80	$47.80