Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $48.98 / $95.50	Facility		$21.38	$48.98	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $52.48 / $151.36	Professional		$33.88	$52.48	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $100.00	Facility		$67.61	$67.61	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $95.50 / $112.20	Professional		$67.61	$95.50	$112.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $91.20 / $120.23	Professional		$64.57	$91.20	$120.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $109.65 / $338.84	Facility		$51.29	$109.65	$338.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $64.57 / $144.54	Professional		$48.98	$64.57	$144.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $102.33 / $114.82	Professional		$97.72	$102.33	$114.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $169.82 / $169.82	Professional		$112.20	$169.82	$169.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $91.20 / $147.91	Professional		$69.18	$91.20	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $69.18 / $181.97	Facility		$38.02	$69.18	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $51.29 / $87.10	Professional		$47.86	$51.29	$87.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $87.10 / $87.10	Professional		$69.18	$87.10	$87.10