Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.75 / $122.65 / $23,057.20	Facility		$57.75	$122.65	$23,057.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $33.28 / $18,720.00	Professional		$32.96	$33.28	$18,720.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.50 / $39.50 / $39.50	Facility		$39.50	$39.50	$39.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $35.76 / $47.39	Professional		$32.96	$35.76	$47.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $24.23 / $39.58 / $75.84	Professional		$24.23	$39.58	$75.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.00 / $38.94 / $55.77	Facility		$33.00	$38.94	$55.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.00 / $36.74 / $1,942.31	Professional		$33.00	$36.74	$1,942.31
Midlands Facility/Professional Facility Modifier Low / Median / High Price $38.82 / $48.53 / $64.59	Facility		$38.82	$48.53	$64.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $38.82 / $41.98 / $71.81	Professional		$38.82	$41.98	$71.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $33.57 / $65.31 / $68.84	Professional		$33.57	$65.31	$68.84
United Facility/Professional Facility Modifier Low / Median / High Price $32.96 / $32.96 / $32.96	Facility		$32.96	$32.96	$32.96
United Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $33.95 / $39.22	Professional		$32.96	$33.95	$39.22
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $36.11 / $36.11 / $36.11	Facility		$36.11	$36.11	$36.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $28.53 / $36.11 / $36.11	Professional		$28.53	$36.11	$36.11