Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $2,290.87 / $6,456.54	Facility		$223.87	$2,290.87	$6,456.54
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,388.44 / $3,388.44 / $3,388.44	Facility	50	$3,388.44	$3,388.44	$3,388.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $173.78 / $467.74	Professional		$107.15	$173.78	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $354.81 / $549.54	Professional		$263.03	$354.81	$549.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $281.84 / $478.63	Professional		$109.65	$281.84	$478.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $407.38 / $1,380.38	Facility		$208.93	$407.38	$1,380.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $323.59 / $831.76	Professional		$204.17	$323.59	$831.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $295.12 / $501.19	Professional		$245.47	$295.12	$501.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $295.12 / $489.78	Professional		$204.17	$295.12	$489.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $389.05 / $501.19	Professional		$5.01	$389.05	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,202.26 / $2,344.23	Facility		$512.86	$1,202.26	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $234.42 / $446.68	Professional		$120.23	$234.42	$446.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $245.47 / $398.11	Professional		$208.93	$245.47	$398.11