Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.09 / $62.41 / $8,739.40	Facility		$50.09	$62.41	$8,739.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $28.27 / $8,814.00	Professional		$27.99	$28.27	$8,814.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.54 / $33.54 / $33.54	Facility		$33.54	$33.54	$33.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.66 / $27.99 / $38.39	Professional		$24.66	$27.99	$38.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $59.10 / $144.69	Professional		$27.99	$59.10	$144.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.62 / $32.04 / $96.89	Facility		$28.62	$32.04	$96.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.62 / $31.48 / $109.60	Professional		$28.62	$31.48	$109.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $24.66 / $29.92 / $60.04	Facility		$24.66	$29.92	$60.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $24.66 / $29.92 / $64.56	Professional		$24.66	$29.92	$64.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $14.65 / $55.56 / $59.60	Professional		$14.65	$55.56	$59.60
United Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $28.83 / $33.31	Professional		$27.99	$28.83	$33.31
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $28.62 / $28.62 / $28.62	Facility		$28.62	$28.62	$28.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $22.61 / $28.62 / $28.62	Professional		$22.61	$28.62	$28.62