Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.48 / $70.48 / $120.27	Facility		$70.48	$70.48	$120.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $56.11 / $14,597.86	Professional		$55.57	$56.11	$14,597.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.56 / $66.56 / $66.56	Facility		$66.56	$66.56	$66.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $60.28 / $76.48	Professional		$54.00	$60.28	$76.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $42.99 / $64.48 / $132.83	Professional		$42.99	$64.48	$132.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.67 / $66.80 / $92.94	Facility		$54.67	$66.80	$92.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $54.67 / $60.86 / $226.89	Professional		$54.67	$60.86	$226.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $63.59 / $79.48 / $103.01	Facility		$63.59	$79.48	$103.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $63.59 / $66.80 / $114.45	Professional		$63.59	$66.80	$114.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $110.12 / $116.08	Professional		$55.57	$110.12	$116.08
United Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $57.24 / $66.13	Professional		$55.57	$57.24	$66.13
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $59.82 / $59.82 / $59.82	Facility		$59.82	$59.82	$59.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $47.26 / $59.82 / $59.82	Professional		$47.26	$59.82	$59.82