Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $2,511.89 / $6,760.83	Facility		$204.17	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $190.55 / $389.05	Professional		$114.82	$190.55	$389.05
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $85.11 / $194.98 / $933.25	Professional	50	$85.11	$194.98	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $275.42 / $398.11	Professional		$123.03	$275.42	$398.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $158.49 / $354.81	Professional		$95.50	$158.49	$354.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $331.13 / $1,380.38	Facility		$190.55	$331.13	$1,380.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $288.40 / $870.96	Professional		$147.91	$288.40	$870.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $288.40 / $354.81	Professional		$251.19	$288.40	$354.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $186.21 / $275.42	Professional		$104.71	$186.21	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,202.26 / $2,344.23	Facility		$588.84	$1,202.26	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $173.78 / $354.81	Professional		$123.03	$173.78	$354.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $251.19 / $295.12	Professional		$199.53	$251.19	$295.12