Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.28 / $2,059.50 / $5,652.07	Facility		$206.28	$2,059.50	$5,652.07
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $11,059.20 / $11,059.20 / $11,059.20	Facility	50	$11,059.20	$11,059.20	$11,059.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.12 / $187.43 / $432.70	Professional		$64.12	$187.43	$432.70
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $93.69 / $93.69 / $606.12	Professional	50	$93.69	$93.69	$606.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.30 / $228.13 / $654.44	Professional		$102.30	$228.13	$654.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $62.95 / $294.70 / $590.25	Professional		$62.95	$294.70	$590.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $132.05 / $365.01 / $664.40	Facility		$132.05	$365.01	$664.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $206.47 / $483.40 / $3,229.91	Professional		$206.47	$483.40	$3,229.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $147.74 / $355.00 / $583.20	Facility		$147.74	$355.00	$583.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $147.74 / $366.58 / $624.52	Professional		$147.74	$366.58	$624.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $199.17 / $407.03	Professional		$64.62	$199.17	$407.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,026.00 / $1,623.00 / $2,126.00	Facility		$1,026.00	$1,623.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $224.48 / $372.28 / $669.62	Professional		$224.48	$372.28	$669.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $130.30 / $159.40 / $505.90	Professional		$130.30	$159.40	$505.90