Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.34 / $90.34 / $152.27	Facility		$90.34	$90.34	$152.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.55 / $52.82 / $7,084.80	Professional		$47.55	$52.82	$7,084.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.97 / $56.97 / $56.97	Facility		$56.97	$56.97	$56.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.43 / $40.08 / $48.17	Professional		$28.43	$40.08	$48.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $47.55 / $110.00 / $236.20	Professional		$47.55	$110.00	$236.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.49 / $45.09 / $108.81	Facility		$33.49	$45.09	$108.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $43.28 / $47.61 / $160.44	Professional		$43.28	$47.61	$160.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $26.23 / $45.09 / $69.38	Facility		$26.23	$45.09	$69.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $33.49 / $45.09 / $189.23	Professional		$33.49	$45.09	$189.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $51.44 / $94.23 / $99.33	Professional		$51.44	$94.23	$99.33
United Facility/Professional Professional Modifier Low / Median / High Price $47.55 / $48.98 / $56.58	Professional		$47.55	$48.98	$56.58
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $43.28 / $43.28 / $43.28	Facility		$43.28	$43.28	$43.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $34.19 / $43.28 / $43.28	Professional		$34.19	$43.28	$43.28