Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.93 / $101.50 / $7,543.95	Facility		$52.93	$101.50	$7,543.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $28.14 / $4,224.00	Professional		$27.86	$28.14	$4,224.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.38 / $33.38 / $33.38	Facility		$33.38	$33.38	$33.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $30.38 / $38.07	Professional		$27.86	$30.38	$38.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $70.37 / $184.89	Professional		$27.86	$70.37	$184.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.85 / $37.35 / $83.73	Facility		$28.85	$37.35	$83.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.85 / $32.11 / $126.83	Professional		$28.85	$32.11	$126.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $35.79 / $43.09 / $53.80	Facility		$35.79	$43.09	$53.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $34.61 / $37.35 / $45.76	Professional		$34.61	$37.35	$45.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $55.30 / $59.32	Professional		$27.86	$55.30	$59.32
United Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $28.70 / $33.15	Professional		$27.86	$28.70	$33.15
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $28.85 / $28.85 / $28.85	Facility		$28.85	$28.85	$28.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $22.79 / $28.85 / $28.85	Professional		$22.79	$28.85	$28.85