Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $396.20 / $408.80 / $679.08	Facility		$396.20	$408.80	$679.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.03 / $97.96 / $343.74	Professional		$57.03	$97.96	$343.74
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $129.50 / $129.50 / $129.50	Professional	50	$129.50	$129.50	$129.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.09 / $180.17 / $261.97	Professional		$122.09	$180.17	$261.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $62.48 / $124.48 / $277.39	Professional		$62.48	$124.48	$277.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $95.63 / $163.37 / $661.20	Facility		$95.63	$163.37	$661.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $91.84 / $169.34 / $629.64	Professional		$91.84	$169.34	$629.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $95.63 / $154.00 / $227.85	Facility		$95.63	$154.00	$227.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $124.00 / $169.34 / $231.32	Professional		$124.00	$169.34	$231.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $63.36 / $113.94 / $170.91	Professional		$63.36	$113.94	$170.91
United Facility/Professional Facility Modifier Low / Median / High Price $348.72 / $798.22 / $1,966.00	Facility		$348.72	$798.22	$1,966.00
United Facility/Professional Professional Modifier Low / Median / High Price $83.85 / $134.29 / $237.98	Professional		$83.85	$134.29	$237.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $123.90 / $145.69 / $207.60	Professional		$123.90	$145.69	$207.60