Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.37 / $56.37 / $80.59	Facility		$56.37	$56.37	$80.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $36.69 / $107.79	Professional		$36.69	$36.69	$107.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.39 / $37.39 / $37.39	Facility		$37.39	$37.39	$37.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $43.74 / $54.79	Professional		$36.69	$43.74	$54.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $34.39 / $60.48 / $133.13	Professional		$34.39	$60.48	$133.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.96 / $47.55 / $72.95	Facility		$36.96	$47.55	$72.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.96 / $41.14 / $167.55	Professional		$36.96	$41.14	$167.55
Midlands Facility/Professional Facility Modifier Low / Median / High Price $45.03 / $56.29 / $78.56	Facility		$45.03	$56.29	$78.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $45.03 / $54.86 / $105.00	Professional		$45.03	$54.86	$105.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $36.86 / $72.70 / $76.64	Professional		$36.86	$72.70	$76.64
United Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $37.79 / $43.66	Professional		$36.69	$37.79	$43.66
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $40.45 / $40.45 / $40.45	Facility		$40.45	$40.45	$40.45
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $31.96 / $40.45 / $40.45	Professional		$31.96	$40.45	$40.45