Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $2,290.87 / $6,456.54	Facility		$204.17	$2,290.87	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $281.84 / $954.99	Professional		$112.20	$281.84	$954.99
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $346.74 / $346.74 / $346.74	Professional	50	$346.74	$346.74	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $467.74 / $1,513.56	Professional		$165.96	$467.74	$1,513.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $676.08 / $1,096.48	Professional		$102.33	$676.08	$1,096.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $831.76 / $1,479.11	Facility		$199.53	$831.76	$1,479.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $1,096.48 / $4,570.88	Professional		$288.40	$1,096.48	$4,570.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $1,096.48 / $1,445.44	Professional		$251.19	$1,096.48	$1,445.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $933.25 / $1,445.44	Professional		$234.42	$933.25	$1,445.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $257.04 / $1,047.13	Professional		$109.65	$257.04	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $3,548.13	Facility		$1,148.15	$1,621.81	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $457.09 / $1,348.96	Professional		$125.89	$457.09	$1,348.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $257.04 / $1,202.26	Professional		$208.93	$257.04	$1,202.26