Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $588.84 / $4,265.80	Facility		$87.10	$588.84	$4,265.80
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $147.91 / $147.91 / $630.96	Facility	50	$147.91	$147.91	$630.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $79.43 / $218.78	Professional		$37.15	$79.43	$218.78
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $77.62 / $162.18 / $371.54	Professional	50	$77.62	$162.18	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $104.71 / $162.18	Professional		$70.79	$104.71	$162.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $67.61 / $229.09	Professional		$38.90	$67.61	$229.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $107.15 / $1,148.15	Facility		$53.70	$107.15	$1,148.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $104.71 / $354.81	Professional		$58.88	$104.71	$354.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $117.49 / $138.04	Professional		$87.10	$117.49	$138.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $100.00 / $138.04	Professional		$77.62	$100.00	$138.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $63.10 / $120.23	Professional		$33.88	$63.10	$120.23
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 $40.74 / $67.61 / $128.82	Professional		$40.74	$67.61	$128.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $83.18 / $125.89	Professional		$70.79	$83.18	$125.89