Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $2,290.87 / $6,456.54	Facility		$117.49	$2,290.87	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $204.17 / $537.03	Professional		$77.62	$204.17	$537.03
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $120.23 / $380.19 / $380.19	Professional	50	$120.23	$380.19	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $416.87 / $660.69	Professional		$177.83	$416.87	$660.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $257.04 / $831.76	Professional		$87.10	$257.04	$831.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $416.87 / $2,951.21	Facility		$134.90	$416.87	$2,951.21
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $302.00 / $302.00 / $302.00	Facility	52	$302.00	$302.00	$302.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $380.19 / $707.95	Professional		$194.98	$380.19	$707.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $478.63 / $562.34	Professional		$194.98	$478.63	$562.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $562.34 / $812.83	Professional		$204.17	$562.34	$812.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $177.83 / $478.63	Professional		$75.86	$177.83	$478.63
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 $87.10 / $218.78 / $549.54	Professional		$87.10	$218.78	$549.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $331.13 / $489.78	Professional		$158.49	$331.13	$489.78