Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.15 / $139.69 / $598.50	Facility		$27.15	$139.69	$598.50
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $83.50 / $194.17 / $194.17	Facility	50	$83.50	$194.17	$194.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $52.86 / $112.65	Professional		$30.00	$52.86	$112.65
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $31.50 / $168.97 / $379.50	Professional	50	$31.50	$168.97	$379.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.77 / $77.39 / $169.34	Professional		$56.77	$77.39	$169.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $26.07 / $77.95 / $126.17	Professional		$26.07	$77.95	$126.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $46.87 / $99.65 / $392.86	Facility		$46.87	$99.65	$392.86
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $380.86 / $380.86 / $380.86	Facility	50	$380.86	$380.86	$380.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $61.71 / $107.91 / $374.09	Professional		$61.71	$107.91	$374.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $57.47 / $83.01 / $165.50	Facility		$57.47	$83.01	$165.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $59.31 / $92.00 / $167.84	Professional		$59.31	$92.00	$167.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.51 / $59.26 / $114.58	Professional		$25.51	$59.26	$114.58
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 $60.71 / $94.99 / $178.11	Professional		$60.71	$94.99	$178.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $50.10 / $58.90 / $142.69	Professional		$50.10	$58.90	$142.69