Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $1,288.25 / $6,025.60	Facility		$141.25	$1,288.25	$6,025.60
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $10,964.78 / $10,964.78 / $10,964.78	Facility	50	$10,964.78	$10,964.78	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $223.87 / $741.31	Professional		$64.57	$223.87	$741.31
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $147.91 / $602.56 / $1,148.15	Professional	50	$147.91	$602.56	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $263.03 / $676.08	Professional		$100.00	$263.03	$676.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $295.12 / $831.76	Professional		$67.61	$295.12	$831.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $380.19 / $1,348.96	Facility		$120.23	$380.19	$1,348.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $457.09 / $3,235.94	Professional		$190.55	$457.09	$3,235.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $380.19 / $630.96	Professional		$162.18	$380.19	$630.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $363.08 / $630.96	Professional		$128.82	$363.08	$630.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $144.54 / $478.63	Professional		$61.66	$144.54	$478.63
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 $81.28 / $218.78 / $537.03	Professional		$81.28	$218.78	$537.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $158.49 / $501.19	Professional		$128.82	$158.49	$501.19