Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $226.00 / $2,218.00 / $6,298.62	Facility		$226.00	$2,218.00	$6,298.62
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $149.00 / $149.00 / $702.45	Facility	50	$149.00	$149.00	$702.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.51 / $88.76 / $307.00	Professional		$45.51	$88.76	$307.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $93.35 / $188.93 / $390.00	Professional	50	$93.35	$188.93	$390.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.23 / $108.10 / $165.56	Professional		$78.23	$108.10	$165.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $38.71 / $78.95 / $159.91	Professional		$38.71	$78.95	$159.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $56.82 / $107.53 / $734.94	Facility		$56.82	$107.53	$734.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $59.81 / $109.53 / $441.03	Professional		$59.81	$109.53	$441.03
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $321.98 / $321.98 / $321.98	Professional	50	$321.98	$321.98	$321.98
Midlands Facility/Professional Facility Modifier Low / Median / High Price $48.08 / $102.32 / $143.72	Facility		$48.08	$102.32	$143.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $80.27 / $108.00 / $149.34	Professional		$80.27	$108.00	$149.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $37.49 / $64.68 / $108.42	Professional		$37.49	$64.68	$108.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,640.00 / $2,126.00	Facility		$1,204.00	$1,640.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $54.61 / $83.22 / $160.34	Professional		$54.61	$83.22	$160.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $75.09 / $88.72 / $132.10	Professional		$75.09	$88.72	$132.10