Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $870.96 / $5,370.32	Facility		$263.03	$870.96	$5,370.32
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $0.85 / $3,162.28 / $5,754.40	Facility	50	$0.85	$3,162.28	$5,754.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $363.08 / $1,071.52	Professional		$173.78	$363.08	$1,071.52
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $194.98 / $691.83 / $2,398.83	Professional	50	$194.98	$691.83	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $512.86 / $870.96	Professional		$407.38	$512.86	$870.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $512.86 / $933.25	Professional		$177.83	$512.86	$933.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,071.52 / $8,317.64	Facility		$436.52	$1,071.52	$8,317.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $630.96 / $1,659.59	Professional		$363.08	$630.96	$1,659.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $630.96 / $851.14	Professional		$389.05	$630.96	$851.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $794.33 / $870.96	Professional		$467.74	$794.33	$870.96
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $794.33 / $1,122.02	Professional		$5.01	$794.33	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $6,309.57 / $8,912.51	Facility		$4,365.16	$6,309.57	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $426.58 / $870.96	Professional		$204.17	$426.58	$870.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $389.05 / $645.65	Professional		$331.13	$389.05	$645.65