Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $527.00 / $2,912.34 / $7,119.04	Facility		$527.00	$2,912.34	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.54 / $116.89 / $405.51	Professional		$45.54	$116.89	$405.51
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $646.98 / $646.98 / $646.98	Professional	50	$646.98	$646.98	$646.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.92 / $160.66 / $232.76	Professional		$99.92	$160.66	$232.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $44.55 / $113.46 / $305.10	Professional		$44.55	$113.46	$305.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.69 / $184.70 / $734.94	Facility		$75.69	$184.70	$734.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $78.52 / $167.34 / $799.31	Professional		$78.52	$167.34	$799.31
Midlands Facility/Professional Facility Modifier Low / Median / High Price $85.90 / $137.65 / $253.20	Facility		$85.90	$137.65	$253.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $110.15 / $187.90 / $272.45	Professional		$110.15	$187.90	$272.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $43.73 / $84.04 / $148.78	Professional		$43.73	$84.04	$148.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,640.00 / $2,126.00	Facility		$1,204.00	$1,640.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $71.97 / $150.65 / $278.38	Professional		$71.97	$150.65	$278.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $87.30 / $123.16 / $183.50	Professional		$87.30	$123.16	$183.50