Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $3,019.95 / $6,456.54	Facility		$316.23	$3,019.95	$6,456.54
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,513.56 / $4,466.84 / $4,466.84	Facility	50	$1,513.56	$4,466.84	$4,466.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $371.54 / $1,230.27	Professional		$162.18	$371.54	$1,230.27
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $416.87 / $1,621.81 / $2,238.72	Professional	50	$416.87	$1,621.81	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $575.44 / $776.25	Professional		$371.54	$575.44	$776.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $457.09 / $912.01	Professional		$158.49	$457.09	$912.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $691.83 / $5,248.07	Facility		$354.81	$691.83	$5,248.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $501.19 / $3,311.31	Professional		$323.59	$501.19	$3,311.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $575.44 / $707.95	Professional		$354.81	$575.44	$707.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $426.58 / $691.83	Professional		$354.81	$426.58	$691.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $676.08 / $812.83	Professional		$5.01	$676.08	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,677.35 / $6,309.57	Facility		$2,570.40	$4,677.35	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $363.08 / $691.83	Professional		$181.97	$363.08	$691.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $346.74 / $575.44	Professional		$295.12	$346.74	$575.44