Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.24 / $60.61 / $60.61	Facility		$53.24	$60.61	$60.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.31 / $38.92 / $61.15	Professional		$30.31	$38.92	$61.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.82 / $46.82 / $79.19	Facility		$46.82	$46.82	$79.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.82 / $84.00 / $105.00	Professional		$46.82	$84.00	$105.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $68.52 / $72.36 / $84.18	Professional		$68.52	$72.36	$84.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.91 / $93.59 / $338.32	Facility		$45.91	$93.59	$338.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.42 / $46.26 / $98.36	Professional		$34.42	$46.26	$98.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $78.95 / $79.19 / $98.44	Facility		$78.95	$79.19	$98.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $64.86 / $92.50 / $151.35	Professional		$64.86	$92.50	$151.35
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $147.62 / $147.62 / $147.62	Facility		$147.62	$147.62	$147.62
United Facility/Professional Professional Modifier Low / Median / High Price $34.42 / $43.10 / $94.35	Professional		$34.42	$43.10	$94.35
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $70.55 / $70.55 / $70.55	Facility		$70.55	$70.55	$70.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $55.73 / $70.55 / $70.55	Professional		$55.73	$70.55	$70.55