Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $794.33 / $5,370.32	Facility		$85.11	$794.33	$5,370.32
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,445.44 / $1,584.89 / $1,659.59	Facility	50	$1,445.44	$1,584.89	$1,659.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $112.20 / $457.09	Professional		$57.54	$112.20	$457.09
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $89.13 / $288.40 / $562.34	Professional	50	$89.13	$288.40	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $181.97 / $288.40	Professional		$117.49	$181.97	$288.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $120.23 / $512.86	Professional		$58.88	$120.23	$512.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $158.49 / $1,348.96	Facility		$89.13	$158.49	$1,348.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $186.21 / $575.44	Professional		$100.00	$186.21	$575.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $181.97 / $257.04	Professional		$128.82	$181.97	$257.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $186.21 / $245.47	Professional		$117.49	$186.21	$245.47
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Facility		$489.78	$489.78	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $3,548.13	Facility		$1,148.15	$1,621.81	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $117.49 / $245.47	Professional		$64.57	$117.49	$245.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $147.91 / $218.78	Professional		$114.82	$147.91	$218.78