Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.66 / $64.66 / $67.26	Facility		$64.66	$64.66	$67.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.39 / $49.85 / $83.58	Professional		$37.39	$49.85	$83.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.56 / $56.56 / $98.27	Facility		$56.56	$56.56	$98.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.56 / $108.00 / $135.00	Professional		$56.56	$108.00	$135.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $84.87 / $104.46 / $137.62	Professional		$84.87	$104.46	$137.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $56.13 / $114.80 / $432.48	Facility		$56.13	$114.80	$432.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.21 / $47.41 / $122.06	Professional		$41.21	$47.41	$122.06
Midlands Facility/Professional Facility Modifier Low / Median / High Price $97.99 / $98.27 / $126.10	Facility		$97.99	$98.27	$126.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $80.48 / $115.28 / $187.80	Professional		$80.48	$115.28	$187.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $94.92 / $169.43	Professional		$89.34	$94.92	$169.43
United Facility/Professional Professional Modifier Low / Median / High Price $42.71 / $44.57 / $110.23	Professional		$42.71	$44.57	$110.23
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $84.87 / $84.87 / $84.87	Facility		$84.87	$84.87	$84.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $67.05 / $84.87 / $84.87	Professional		$67.05	$84.87	$84.87