Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.67 / $55.86 / $282.36	Facility		$7.67	$55.86	$282.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.72 / $42.50 / $76.75	Professional		$29.72	$42.50	$76.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.70 / $45.70 / $73.81	Facility		$45.70	$45.70	$73.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.65 / $93.38 / $116.72	Professional		$72.65	$93.38	$116.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $60.84 / $67.11 / $80.39	Professional		$60.84	$67.11	$80.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.16 / $86.24 / $358.44	Facility		$42.16	$86.24	$358.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.09 / $38.11 / $91.71	Professional		$32.09	$38.11	$91.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $73.62 / $73.81 / $100.33	Facility		$73.62	$73.81	$100.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $60.47 / $87.24 / $141.09	Professional		$60.47	$87.24	$141.09
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $125.17 / $125.17 / $125.17	Facility		$125.17	$125.17	$125.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $68.45 / $82.00 / $143.50	Professional		$68.45	$82.00	$143.50
United Facility/Professional Professional Modifier Low / Median / High Price $31.99 / $33.49 / $86.11	Professional		$31.99	$33.49	$86.11
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $63.75 / $63.75 / $63.75	Facility		$63.75	$63.75	$63.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $50.36 / $63.75 / $63.75	Professional		$50.36	$63.75	$63.75