Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.50 / $93.50 / $137.31	Facility		$93.50	$93.50	$137.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $61.44 / $196.71	Professional		$61.44	$61.44	$196.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.61 / $73.61 / $73.61	Facility		$73.61	$73.61	$73.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $75.50 / $96.92	Professional		$61.44	$75.50	$96.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $57.04 / $121.55 / $259.70	Professional		$57.04	$121.55	$259.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $62.97 / $81.98 / $113.41	Facility		$62.97	$81.98	$113.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $62.97 / $70.09 / $303.45	Professional		$62.97	$70.09	$303.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $75.50 / $97.12 / $138.63	Facility		$75.50	$97.12	$138.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $75.50 / $94.46 / $194.68	Professional		$75.50	$94.46	$194.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $121.96 / $130.82	Professional		$61.44	$121.96	$130.82
United Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $63.28 / $73.11	Professional		$61.44	$63.28	$73.11
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $68.91 / $68.91 / $68.91	Facility		$68.91	$68.91	$68.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $54.44 / $68.91 / $68.91	Professional		$54.44	$68.91	$68.91