Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.10 / $684.16 / $3,621.00	Facility		$143.10	$684.16	$3,621.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $242.35 / $434.04 / $764.42	Facility	50	$242.35	$434.04	$764.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.82 / $73.77 / $184.24	Professional		$41.82	$73.77	$184.24
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $62.94 / $118.64 / $334.80	Professional	50	$62.94	$118.64	$334.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.62 / $124.66 / $185.04	Professional		$90.62	$124.66	$185.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $44.52 / $89.22 / $220.44	Professional		$44.52	$89.22	$220.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $66.40 / $128.38 / $758.10	Facility		$66.40	$128.38	$758.10
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $0.33 / $220.53 / $794.20	Facility	50	$0.33	$220.53	$794.20
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $164.70 / $164.70 / $164.70	Facility	52	$164.70	$164.70	$164.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $70.12 / $126.95 / $482.48	Professional		$70.12	$126.95	$482.48
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $148.86 / $196.09 / $235.66	Professional	50	$148.86	$196.09	$235.66
Midlands Facility/Professional Facility Modifier Low / Median / High Price $56.18 / $120.27 / $162.13	Facility		$56.18	$120.27	$162.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $91.11 / $122.04 / $171.22	Professional		$91.11	$122.04	$171.22
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $311.77 / $870.71 / $1,503.95	Facility		$311.77	$870.71	$1,503.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $44.34 / $77.11 / $122.50	Professional		$44.34	$77.11	$122.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,623.00 / $2,126.00	Facility		$1,204.00	$1,623.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $61.43 / $99.93 / $188.06	Professional		$61.43	$99.93	$188.06
United Facility/Professional Professional Modifier 50 Low / Median / High Price $80.00 / $85.00 / $268.00	Professional	50	$80.00	$85.00	$268.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $87.30 / $102.70 / $148.00	Professional		$87.30	$102.70	$148.00