Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.95 / $80.95 / $81.15	Facility		$80.95	$80.95	$81.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $51.00 / $80.95	Professional		$51.00	$51.00	$80.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.46 / $28.46 / $30.57	Facility		$28.46	$28.46	$30.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.10 / $59.43 / $68.11	Professional		$50.10	$59.43	$68.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $43.35 / $51.00 / $92.31	Professional		$43.35	$51.00	$92.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $34.53 / $68.11 / $84.67	Facility		$34.53	$68.11	$84.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $53.76 / $53.76 / $119.25	Professional		$53.76	$53.76	$119.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $21.00 / $59.75 / $78.59	Facility		$21.00	$59.75	$78.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $27.62 / $59.75 / $78.59	Professional		$27.62	$59.75	$78.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $30.10 / $32.90 / $36.29	Professional		$30.10	$32.90	$36.29
United Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $51.00 / $56.10	Professional		$51.00	$51.00	$56.10
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $53.76 / $53.76 / $53.76	Facility		$53.76	$53.76	$53.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $42.47 / $53.76 / $53.76	Professional		$42.47	$53.76	$53.76