Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $416.87 / $5,011.87	Facility		$60.26	$416.87	$5,011.87
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,348.96 / $1,445.44 / $2,884.03	Facility	50	$1,348.96	$1,445.44	$2,884.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $117.49 / $436.52	Professional		$46.77	$117.49	$436.52
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $104.71 / $316.23 / $724.44	Professional	50	$104.71	$316.23	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $154.88 / $218.78	Professional		$91.20	$154.88	$218.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $100.00 / $295.12	Professional		$43.65	$100.00	$295.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $165.96 / $2,290.87	Facility		$61.66	$165.96	$2,290.87
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $234.42 / $234.42 / $741.31	Facility	50	$234.42	$234.42	$741.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $162.18 / $724.44	Professional		$87.10	$162.18	$724.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $173.78 / $223.87	Professional		$104.71	$173.78	$223.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $154.88 / $190.55	Professional		$87.10	$154.88	$190.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $83.18 / $165.96	Professional		$39.81	$83.18	$165.96
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 $47.86 / $100.00 / $199.53	Professional		$47.86	$100.00	$199.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $112.20 / $165.96	Professional		$79.43	$112.20	$165.96