Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $602.56 / $5,370.32	Facility		$32.36	$602.56	$5,370.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $91.20 / $549.54	Professional		$23.99	$91.20	$549.54
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $208.93 / $489.78 / $489.78	Professional	50	$208.93	$489.78	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $77.62 / $309.03	Professional		$56.23	$77.62	$309.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $54.95 / $588.84	Professional		$25.70	$54.95	$588.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $218.78 / $2,951.21	Facility		$46.77	$218.78	$2,951.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $177.83 / $1,949.84	Professional		$38.90	$177.83	$1,949.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $83.18 / $436.52	Professional		$61.66	$83.18	$436.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $295.12 / $309.03	Professional		$83.18	$295.12	$309.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $41.69 / $74.13	Professional		$22.91	$41.69	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,884.03 / $4,897.79	Facility		$1,621.81	$2,884.03	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $69.18 / $269.15	Professional		$26.92	$69.18	$269.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $54.95 / $75.86	Professional		$46.77	$54.95	$75.86