Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.85 / $73.73 / $81.23	Facility		$48.85	$73.73	$81.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $52.75 / $135.85	Professional		$52.75	$52.75	$135.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.47 / $59.70 / $61.74	Facility		$57.47	$59.70	$61.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $61.35 / $65.95	Professional		$52.75	$61.35	$65.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $44.84 / $52.75 / $95.48	Professional		$44.84	$52.75	$95.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $48.85 / $61.35 / $85.49	Facility		$48.85	$61.35	$85.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $48.85 / $48.85 / $97.70	Professional		$48.85	$48.85	$97.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $54.19 / $61.35 / $72.68	Facility		$54.19	$61.35	$72.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $45.70 / $61.35 / $72.68	Professional		$45.70	$61.35	$72.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.60 / $45.20 / $98.60	Professional		$35.60	$45.20	$98.60
United Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $52.75 / $56.97	Professional		$52.75	$52.75	$56.97
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $48.85 / $48.85 / $48.85	Facility		$48.85	$48.85	$48.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $38.59 / $48.85 / $48.85	Professional		$38.59	$48.85	$48.85