Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.76 / $73.59 / $73.59	Facility		$69.76	$73.59	$73.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $57.60 / $86.49	Professional		$42.28	$57.60	$86.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.92 / $59.92 / $107.70	Facility		$59.92	$59.92	$107.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.06 / $122.63 / $153.28	Professional		$99.06	$122.63	$153.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $90.03 / $105.92 / $132.83	Professional		$90.03	$105.92	$132.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.51 / $125.12 / $474.60	Facility		$61.51	$125.12	$474.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $45.17 / $51.82 / $133.79	Professional		$45.17	$51.82	$133.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $107.40 / $107.70 / $145.69	Facility		$107.40	$107.70	$145.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $88.22 / $125.82 / $205.84	Professional		$88.22	$125.82	$205.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $99.87 / $108.04 / $189.07	Professional		$99.87	$108.04	$189.07
United Facility/Professional Professional Modifier Low / Median / High Price $44.23 / $48.85 / $115.23	Professional		$44.23	$48.85	$115.23
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $93.01 / $93.01 / $93.01	Facility		$93.01	$93.01	$93.01
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $73.48 / $93.01 / $93.01	Professional		$73.48	$93.01	$93.01