Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.85 / $42.81 / $155.78	Facility		$32.85	$42.81	$155.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $26.32 / $44.37	Professional		$19.57	$26.32	$44.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.97 / $35.00 / $53.41	Facility		$29.97	$35.00	$53.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $59.25 / $74.06	Professional		$35.00	$59.25	$74.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $46.12 / $51.11 / $59.29	Professional		$46.12	$51.11	$59.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.96 / $63.12 / $230.54	Facility		$30.96	$63.12	$230.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.21 / $31.28 / $66.34	Professional		$23.21	$31.28	$66.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $53.25 / $53.41 / $66.58	Facility		$53.25	$53.41	$66.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $43.73 / $62.38 / $102.06	Professional		$43.73	$62.38	$102.06
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $968.99 / $968.99 / $968.99	Facility		$968.99	$968.99	$968.99
United Facility/Professional Professional Modifier Low / Median / High Price $23.21 / $28.89 / $63.63	Professional		$23.21	$28.89	$63.63
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $47.58 / $47.58 / $47.58	Facility		$47.58	$47.58	$47.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $37.59 / $47.58 / $47.58	Professional		$37.59	$47.58	$47.58