Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.68 / $1,729.88 / $6,298.62	Facility		$163.68	$1,729.88	$6,298.62
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,073.09 / $1,073.09 / $1,205.40	Facility	50	$1,073.09	$1,073.09	$1,205.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.55 / $117.43 / $548.00	Professional		$56.55	$117.43	$548.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $144.80 / $838.50 / $943.50	Professional	50	$144.80	$838.50	$943.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.19 / $232.22 / $319.43	Professional		$112.19	$232.22	$319.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $49.92 / $153.26 / $280.30	Professional		$49.92	$153.26	$280.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $78.01 / $194.18 / $734.94	Facility		$78.01	$194.18	$734.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $114.10 / $229.30 / $804.00	Professional		$114.10	$229.30	$804.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $114.26 / $161.58 / $305.08	Facility		$114.26	$161.58	$305.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $123.15 / $207.05 / $318.93	Professional		$123.15	$207.05	$318.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $53.45 / $109.99 / $210.61	Professional		$53.45	$109.99	$210.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,151.00 / $1,775.00 / $3,560.25	Facility		$1,151.00	$1,775.00	$3,560.25
United Facility/Professional Professional Modifier Low / Median / High Price $104.57 / $158.75 / $305.94	Professional		$104.57	$158.75	$305.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $100.80 / $170.88 / $254.40	Professional		$100.80	$170.88	$254.40