Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.89 / $1,866.90 / $6,298.62	Facility		$34.89	$1,866.90	$6,298.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.61 / $63.22 / $218.67	Professional		$38.61	$63.22	$218.67
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $80.09 / $173.00 / $199.33	Professional	50	$80.09	$173.00	$199.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.58 / $107.13 / $164.58	Professional		$81.58	$107.13	$164.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $38.38 / $77.26 / $170.00	Professional		$38.38	$77.26	$170.00
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 $61.32 / $115.28 / $429.84	Professional		$61.32	$115.28	$429.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $48.08 / $103.22 / $145.32	Facility		$48.08	$103.22	$145.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $83.70 / $115.28 / $153.00	Professional		$83.70	$115.28	$153.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $36.72 / $64.25 / $106.08	Professional		$36.72	$64.25	$106.08
United Facility/Professional Facility Modifier Low / Median / High Price $387.60 / $887.22 / $1,966.00	Facility		$387.60	$887.22	$1,966.00
United Facility/Professional Professional Modifier Low / Median / High Price $55.70 / $85.31 / $159.96	Professional		$55.70	$85.31	$159.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $73.80 / $87.69 / $130.60	Professional		$73.80	$87.69	$130.60