Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.06 / $80.27 / $80.27	Facility		$76.06	$80.27	$80.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.67 / $62.79 / $94.64	Professional		$47.67	$62.79	$94.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.37 / $66.37 / $142.29	Facility		$66.37	$66.37	$142.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.37 / $133.88 / $167.34	Professional		$66.37	$133.88	$167.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $105.95 / $133.11 / $144.25	Professional		$105.95	$133.11	$144.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $81.26 / $148.97 / $557.39	Facility		$81.26	$148.97	$557.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $52.16 / $64.53 / $169.66	Professional		$52.16	$64.53	$169.66
Midlands Facility/Professional Facility Modifier Low / Median / High Price $141.87 / $142.29 / $170.53	Facility		$141.87	$142.29	$170.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $114.61 / $158.84 / $271.89	Professional		$114.61	$158.84	$271.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $117.84 / $131.94 / $230.89	Professional		$117.84	$131.94	$230.89
United Facility/Professional Professional Modifier Low / Median / High Price $51.70 / $64.53 / $150.19	Professional		$51.70	$64.53	$150.19
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $122.88 / $122.88 / $122.88	Facility		$122.88	$122.88	$122.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $97.08 / $122.88 / $122.88	Professional		$97.08	$122.88	$122.88