Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.33 / $1,824.24 / $5,463.36	Facility		$97.33	$1,824.24	$5,463.36
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $896.47 / $896.47 / $896.47	Facility	50	$896.47	$896.47	$896.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.72 / $51.24 / $170.04	Professional		$30.72	$51.24	$170.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.82 / $102.52 / $238.60	Professional		$48.82	$102.52	$238.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $29.62 / $65.18 / $158.21	Professional		$29.62	$65.18	$158.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.38 / $106.32 / $1,031.97	Facility		$57.38	$106.32	$1,031.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $59.44 / $125.10 / $1,650.00	Professional		$59.44	$125.10	$1,650.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $63.20 / $100.79 / $236.66	Facility		$63.20	$100.79	$236.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $61.00 / $86.98 / $217.24	Professional		$61.00	$86.98	$217.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $108.80 / $108.80 / $109.30	Professional		$108.80	$108.80	$109.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,026.00 / $1,623.00 / $2,126.00	Facility		$1,026.00	$1,623.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $65.45 / $125.10 / $234.57	Professional		$65.45	$125.10	$234.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $59.90 / $73.30 / $182.50	Professional		$59.90	$73.30	$182.50