Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $603.00 / $3,259.25 / $7,119.04	Facility		$603.00	$3,259.25	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.43 / $198.59 / $686.07	Professional		$73.43	$198.59	$686.07
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $55.99 / $55.99 / $473.83	Professional	50	$55.99	$55.99	$473.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.73 / $453.50 / $667.75	Professional		$166.73	$453.50	$667.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $72.25 / $305.97 / $452.91	Professional		$72.25	$305.97	$452.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $150.22 / $320.92 / $1,204.00	Facility		$150.22	$320.92	$1,204.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $203.75 / $491.78 / $1,799.04	Professional		$203.75	$491.78	$1,799.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $112.33 / $233.05 / $608.49	Facility		$112.33	$233.05	$608.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $168.84 / $320.33 / $608.49	Professional		$168.84	$320.33	$608.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $399.40 / $672.90	Professional		$5.00	$399.40	$672.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,151.00 / $1,640.00 / $3,560.25	Facility		$1,151.00	$1,640.00	$3,560.25
United Facility/Professional Professional Modifier Low / Median / High Price $223.55 / $438.57 / $693.05	Professional		$223.55	$438.57	$693.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $143.00 / $168.20 / $523.40	Professional		$143.00	$168.20	$523.40