Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.36 / $65.23 / $111.20	Facility		$52.36	$65.23	$111.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $26.51 / $33.40	Professional		$26.51	$26.51	$33.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.00 / $27.00 / $27.00	Facility		$27.00	$27.00	$27.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $37.42 / $59.74	Professional		$26.51	$37.42	$59.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $67.86 / $262.33	Professional		$26.51	$67.86	$262.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.92 / $46.08 / $86.02	Facility		$29.92	$46.08	$86.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.92 / $33.31 / $253.17	Professional		$29.92	$33.31	$253.17
Midlands Facility/Professional Facility Modifier Low / Median / High Price $39.70 / $55.92 / $86.98	Facility		$39.70	$55.92	$86.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $35.90 / $47.81 / $70.73	Professional		$35.90	$47.81	$70.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $52.62 / $56.45	Professional		$26.51	$52.62	$56.45
United Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $26.51 / $31.55	Professional		$26.51	$26.51	$31.55
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $29.92 / $29.92 / $29.92	Facility		$29.92	$29.92	$29.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $23.64 / $29.92 / $29.92	Professional		$23.64	$29.92	$29.92