Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,365.79 / $3,419.00 / $6,298.62	Facility		$2,365.79	$3,419.00	$6,298.62
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $0.52 / $0.52 / $0.52	Facility	50	$0.52	$0.52	$0.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.96 / $172.97 / $363.36	Professional		$145.96	$172.97	$363.36
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $87.63 / $179.34 / $330.78	Professional	50	$87.63	$179.34	$330.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $348.62 / $411.97 / $444.09	Professional		$348.62	$411.97	$444.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $146.72 / $279.92 / $473.54	Professional		$146.72	$279.92	$473.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $298.11 / $448.65 / $5,732.00	Facility		$298.11	$448.65	$5,732.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $194.15 / $364.48 / $2,496.46	Professional		$194.15	$364.48	$2,496.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $476.59 / $1,476.40	Facility		$294.00	$476.59	$1,476.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $269.00 / $348.62 / $476.59	Professional		$269.00	$348.62	$476.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $294.00 / $396.70	Professional		$5.00	$294.00	$396.70
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,732.00 / $8,342.00	Facility		$4,217.00	$5,732.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $173.20 / $303.85 / $490.28	Professional		$173.20	$303.85	$490.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $295.20 / $295.20 / $347.30	Professional		$295.20	$295.20	$347.30