Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $602.56 / $5,370.32	Facility		$72.44	$602.56	$5,370.32
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $549.54 / $676.08 / $676.08	Facility	50	$549.54	$676.08	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $79.43 / $208.93	Professional		$37.15	$79.43	$208.93
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $63.10 / $162.18 / $436.52	Professional	50	$63.10	$162.18	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $102.33 / $158.49	Professional		$63.10	$102.33	$158.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $66.07 / $204.17	Professional		$37.15	$66.07	$204.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $100.00 / $1,023.29	Facility		$52.48	$100.00	$1,023.29
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $229.09 / $229.09 / $229.09	Facility	50	$229.09	$229.09	$229.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $100.00 / $398.11	Professional		$54.95	$100.00	$398.11
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $128.82 / $128.82 / $181.97	Professional	50	$128.82	$128.82	$181.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $112.20 / $131.83	Professional		$83.18	$112.20	$131.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $91.20 / $131.83	Professional		$67.61	$91.20	$131.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $61.66 / $117.49	Professional		$33.88	$61.66	$117.49
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,202.26 / $2,344.23	Facility		$660.69	$1,202.26	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $64.57 / $125.89	Professional		$38.90	$64.57	$125.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $81.28 / $123.03	Professional		$69.18	$81.28	$123.03