Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $25.12 / $33.11	Professional		$14.13	$25.12	$33.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $54.95 / $56.23	Facility		$53.70	$54.95	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $45.71 / $57.54	Professional		$41.69	$45.71	$57.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $79.43 / $131.83	Professional		$13.18	$79.43	$131.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $45.71 / $165.96	Facility		$30.90	$45.71	$165.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $25.70 / $199.53	Professional		$3.31	$25.70	$199.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $41.69 / $51.29	Professional		$27.54	$41.69	$51.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Facility		$56.23	$56.23	$56.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $38.02 / $45.71	Professional		$32.36	$38.02	$45.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $117.49 / $138.04	Professional		$104.71	$117.49	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $19.50 / $35.48	Professional		$3.31	$19.50	$35.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $24.55	Professional		$20.89	$20.89	$24.55