Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $614.85 / $2,912.34 / $7,119.04	Facility		$614.85	$2,912.34	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.72 / $76.55 / $267.20	Professional		$42.72	$76.55	$267.20
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $211.97 / $239.39 / $243.45	Professional	50	$211.97	$239.39	$243.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.27 / $139.33 / $239.57	Professional		$97.27	$139.33	$239.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $109.82 / $292.80	Professional		$50.12	$109.82	$292.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $74.41 / $130.87 / $758.10	Facility		$74.41	$130.87	$758.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $80.98 / $149.25 / $340.80	Professional		$80.98	$149.25	$340.80
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $179.40 / $179.40 / $179.40	Professional	50	$179.40	$179.40	$179.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $81.05 / $114.09 / $205.02	Facility		$81.05	$114.09	$205.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $105.41 / $143.26 / $213.57	Professional		$105.41	$143.26	$213.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $44.74 / $86.55 / $153.74	Professional		$44.74	$86.55	$153.74
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 $76.06 / $115.92 / $217.35	Professional		$76.06	$115.92	$217.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $89.20 / $126.72 / $188.80	Professional		$89.20	$126.72	$188.80