Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.75 / $2,352.00 / $6,298.62	Facility		$137.75	$2,352.00	$6,298.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.13 / $237.63 / $431.24	Professional		$47.13	$237.63	$431.24
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $372.08 / $372.08 / $372.08	Professional	50	$372.08	$372.08	$372.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.47 / $253.05 / $731.73	Professional		$72.47	$253.05	$731.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $43.68 / $327.18 / $625.09	Professional		$43.68	$327.18	$625.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $95.99 / $471.60 / $889.04	Facility		$95.99	$471.60	$889.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $271.57 / $639.29 / $2,278.06	Professional		$271.57	$639.29	$2,278.06
Midlands Facility/Professional Facility Modifier Low / Median / High Price $101.90 / $525.47 / $817.39	Facility		$101.90	$525.47	$817.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $101.90 / $525.47 / $781.38	Professional		$101.90	$525.47	$781.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $46.43 / $213.54 / $439.32	Professional		$46.43	$213.54	$439.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,026.00 / $1,623.00 / $2,126.00	Facility		$1,026.00	$1,623.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $304.91 / $582.10 / $902.34	Professional		$304.91	$582.10	$902.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $93.40 / $114.30 / $566.79	Professional		$93.40	$114.30	$566.79