Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.56 / $285.12 / $6,446.00	Facility		$105.56	$285.12	$6,446.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.42 / $90.43 / $336.00	Professional		$48.42	$90.43	$336.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $27.78 / $34.44 / $45.22	Professional	52	$27.78	$34.44	$45.22
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $11.11 / $13.77 / $18.09	Professional	53	$11.11	$13.77	$18.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.50 / $147.96 / $210.36	Professional		$100.50	$147.96	$210.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $42.86 / $105.89 / $196.79	Professional		$42.86	$105.89	$196.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.26 / $144.53 / $1,151.00	Facility		$77.26	$144.53	$1,151.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $92.02 / $149.60 / $552.16	Professional		$92.02	$149.60	$552.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $63.51 / $116.09 / $183.11	Facility		$63.51	$116.09	$183.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $95.76 / $139.50 / $197.26	Professional		$95.76	$139.50	$197.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $141.40 / $194.60	Professional		$3.00	$141.40	$194.60
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 $74.61 / $133.65 / $211.20	Professional		$74.61	$133.65	$211.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $87.00 / $102.40 / $165.40	Professional		$87.00	$102.40	$165.40