Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.35 / $603.00 / $7,119.04	Facility		$176.35	$603.00	$7,119.04
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $153.69 / $153.69 / $349.97	Facility	50	$153.69	$153.69	$349.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.41 / $130.36 / $489.93	Professional		$58.41	$130.36	$489.93
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $153.38 / $400.71 / $745.76	Professional	50	$153.38	$400.71	$745.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.74 / $185.43 / $244.25	Professional		$106.74	$185.43	$244.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $44.05 / $113.10 / $285.02	Professional		$44.05	$113.10	$285.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $116.80 / $198.02 / $1,204.00	Facility		$116.80	$198.02	$1,204.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $108.51 / $185.81 / $647.52	Professional		$108.51	$185.81	$647.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $104.81 / $176.13 / $239.17	Facility		$104.81	$176.13	$239.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $104.81 / $162.10 / $239.17	Professional		$104.81	$162.10	$239.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $211.10 / $290.10	Professional		$4.00	$211.10	$290.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,607.00 / $2,126.00	Facility		$1,204.00	$1,607.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $176.64 / $258.92	Professional		$91.54	$176.64	$258.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $90.80 / $106.80 / $179.50	Professional		$90.80	$106.80	$179.50