Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $602.56 / $6,025.60	Facility		$151.36	$602.56	$6,025.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $245.47 / $724.44	Professional		$74.13	$245.47	$724.44
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $56.23 / $177.83 / $1,258.93	Professional	50	$56.23	$177.83	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $213.80 / $707.95	Professional		$169.82	$213.80	$707.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $331.13 / $524.81	Professional		$100.00	$331.13	$524.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $323.59 / $1,621.81	Facility		$162.18	$323.59	$1,621.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $363.08 / $933.25	Professional		$194.98	$363.08	$933.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $316.23 / $602.56	Professional		$169.82	$316.23	$602.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $208.93 / $660.69	Professional		$154.88	$208.93	$660.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $436.52 / $676.08	Professional		$5.01	$436.52	$676.08
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 $89.13 / $223.87 / $537.03	Professional		$89.13	$223.87	$537.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $169.82 / $524.81	Professional		$144.54	$169.82	$524.81