Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.46 / $715.56 / $5,549.00	Facility		$156.46	$715.56	$5,549.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $461.35 / $461.35 / $469.04	Facility	50	$461.35	$461.35	$469.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.64 / $124.79 / $349.66	Professional		$51.64	$124.79	$349.66
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $66.75 / $231.25 / $540.23	Professional	50	$66.75	$231.25	$540.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.66 / $187.50 / $449.93	Professional		$117.66	$187.50	$449.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $52.53 / $172.43 / $303.79	Professional		$52.53	$172.43	$303.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $125.06 / $228.46 / $1,204.00	Facility		$125.06	$228.46	$1,204.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $129.84 / $293.58 / $1,154.72	Professional		$129.84	$293.58	$1,154.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $110.51 / $174.14 / $394.52	Facility		$110.51	$174.14	$394.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $108.78 / $186.31 / $382.48	Professional		$108.78	$186.31	$382.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $178.00 / $428.00	Professional		$5.00	$178.00	$428.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,607.00 / $2,126.00	Facility		$1,204.00	$1,607.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $121.18 / $237.75 / $437.61	Professional		$121.18	$237.75	$437.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $104.10 / $122.50 / $338.60	Professional		$104.10	$122.50	$338.60