Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $93.33 / $141.25	Facility		$70.79	$93.33	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $72.44 / $117.49	Professional		$70.79	$72.44	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $72.44 / $89.13	Professional		$70.79	$72.44	$89.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $89.13 / $154.88	Professional		$60.26	$89.13	$154.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $77.62 / $117.49	Facility		$69.18	$77.62	$117.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $77.62 / $288.40	Professional		$69.18	$77.62	$288.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $85.11 / $104.71	Professional		$79.43	$85.11	$104.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $102.33 / $147.91	Professional		$79.43	$102.33	$147.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $125.89 / $151.36	Professional		$75.86	$125.89	$151.36
United Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $85.11	Professional		$70.79	$70.79	$85.11
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $77.62 / $77.62	Professional		$61.66	$77.62	$77.62