Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.09 / $208.86 / $387.54	Facility		$84.09	$208.86	$387.54
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $179.61 / $235.01 / $378.69	Facility	50	$179.61	$235.01	$378.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.10 / $84.16 / $142.81	Professional		$27.10	$84.16	$142.81
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $154.00 / $233.78 / $244.72	Professional	50	$154.00	$233.78	$244.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.12 / $118.29 / $258.08	Professional		$52.12	$118.29	$258.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $24.81 / $102.51 / $177.90	Professional		$24.81	$102.51	$177.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $44.26 / $142.81 / $405.24	Facility		$44.26	$142.81	$405.24
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $96.87 / $96.87 / $634.29	Facility	50	$96.87	$96.87	$634.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $72.84 / $151.62 / $324.12	Professional		$72.84	$151.62	$324.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $59.93 / $116.44 / $218.60	Facility		$59.93	$116.44	$218.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $52.12 / $118.29 / $240.20	Professional		$52.12	$118.29	$240.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $24.87 / $79.37 / $150.63	Professional		$24.87	$79.37	$150.63
United Facility/Professional Facility Modifier Low / Median / High Price $207.18 / $474.26 / $1,966.00	Facility		$207.18	$474.26	$1,966.00
United Facility/Professional Professional Modifier Low / Median / High Price $87.09 / $131.69 / $254.43	Professional		$87.09	$131.69	$254.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $50.70 / $59.60 / $197.10	Professional		$50.70	$59.60	$197.10