Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.70 / $69.59 / $69.59	Facility		$62.70	$69.59	$69.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.17 / $53.96 / $82.89	Professional		$40.17	$53.96	$82.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.85 / $53.85 / $122.18	Facility		$53.85	$53.85	$122.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.85 / $116.25 / $145.31	Professional		$53.85	$116.25	$145.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $92.81 / $111.07 / $202.58	Professional		$92.81	$111.07	$202.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $69.78 / $124.98 / $456.49	Facility		$69.78	$124.98	$456.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $43.00 / $55.42 / $145.72	Professional		$43.00	$55.42	$145.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $122.18 / $122.18 / $146.43	Facility		$122.18	$122.18	$146.43
Midlands Facility/Professional Professional Modifier Low / Median / High Price $116.32 / $144.38 / $233.51	Professional		$116.32	$144.38	$233.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $102.16 / $113.29 / $198.26	Professional		$102.16	$113.29	$198.26
United Facility/Professional Professional Modifier Low / Median / High Price $43.00 / $55.42 / $95.13	Professional		$43.00	$55.42	$95.13
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $105.52 / $105.52 / $105.52	Facility		$105.52	$105.52	$105.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $83.36 / $105.52 / $105.52	Professional		$83.36	$105.52	$105.52