Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $457.09 / $5,011.87	Facility		$97.72	$457.09	$5,011.87
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $457.09 / $457.09 / $467.74	Facility	50	$457.09	$457.09	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $154.88 / $380.19	Professional		$56.23	$154.88	$380.19
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $75.86 / $512.86 / $562.34	Professional	50	$75.86	$512.86	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $154.88 / $457.09	Professional		$125.89	$154.88	$457.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $208.93 / $389.05	Professional		$72.44	$208.93	$389.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $245.47 / $1,380.38	Facility		$125.89	$245.47	$1,380.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $199.53 / $602.56	Professional		$125.89	$199.53	$602.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $208.93 / $380.19	Professional		$109.65	$208.93	$380.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $151.36 / $416.87	Professional		$109.65	$151.36	$416.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $194.98 / $426.58	Professional		$5.01	$194.98	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $1,202.26 / $2,344.23	Facility		$288.40	$1,202.26	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $144.54 / $338.84	Professional		$64.57	$144.54	$338.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $123.03 / $338.84	Professional		$104.71	$123.03	$338.84