Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $457.09 / $5,370.32	Facility		$83.18	$457.09	$5,370.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $123.03 / $426.58	Professional		$57.54	$123.03	$426.58
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $346.74 / $389.05 / $524.81	Professional	50	$346.74	$389.05	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $181.97 / $288.40	Professional		$128.82	$181.97	$288.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $131.83 / $416.87	Professional		$61.66	$131.83	$416.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $245.47 / $2,290.87	Facility		$89.13	$245.47	$2,290.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $229.09 / $1,288.25	Professional		$114.82	$229.09	$1,288.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $229.09 / $302.00	Professional		$144.54	$229.09	$302.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $218.78 / $245.47	Professional		$134.90	$218.78	$245.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $109.65 / $218.78	Professional		$54.95	$109.65	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,290.87 / $4,897.79	Facility		$1,513.56	$2,290.87	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $123.03 / $269.15	Professional		$63.10	$123.03	$269.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $147.91 / $223.87	Professional		$112.20	$147.91	$223.87