Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,309.70 / $3,259.25 / $7,119.04	Facility		$1,309.70	$3,259.25	$7,119.04
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,339.40 / $2,339.40 / $2,339.40	Facility	50	$2,339.40	$2,339.40	$2,339.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.89 / $87.53 / $371.00	Professional		$48.89	$87.53	$371.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $212.52 / $529.50 / $577.16	Professional	50	$212.52	$529.50	$577.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.93 / $151.30 / $258.08	Professional		$107.93	$151.30	$258.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $56.18 / $118.59 / $309.94	Professional		$56.18	$118.59	$309.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.97 / $141.94 / $1,724.14	Facility		$83.97	$141.94	$1,724.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $89.58 / $164.80 / $386.24	Professional		$89.58	$164.80	$386.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $85.37 / $128.34 / $222.52	Facility		$85.37	$128.34	$222.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $121.00 / $160.13 / $235.53	Professional		$121.00	$160.13	$235.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $50.22 / $95.84 / $166.02	Professional		$50.22	$95.84	$166.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,482.00 / $5,454.00	Facility		$1,775.00	$3,482.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $128.00 / $247.57	Professional		$84.00	$128.00	$247.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $100.10 / $136.91 / $203.90	Professional		$100.10	$136.91	$203.90