Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $5,011.87 / $7,943.28	Facility		$138.04	$5,011.87	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $138.04 / $436.52	Professional		$81.28	$138.04	$436.52
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $218.78 / $218.78 / $630.96	Professional	50	$218.78	$218.78	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $263.03 / $354.81	Professional		$194.98	$263.03	$354.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $208.93 / $416.87	Professional		$100.00	$208.93	$416.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $302.00 / $3,235.94	Facility		$138.04	$302.00	$3,235.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $234.42 / $630.96	Professional		$144.54	$234.42	$630.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $263.03 / $323.59	Professional		$186.21	$263.03	$323.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $223.87 / $323.59	Professional		$162.18	$223.87	$323.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $251.19 / $316.23	Professional		$3.02	$251.19	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,344.23 / $4,897.79	Facility		$1,318.26	$2,344.23	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $177.83 / $316.23	Professional		$97.72	$177.83	$316.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $190.55 / $269.15	Professional		$158.49	$190.55	$269.15