Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.78 / $2,293.00 / $6,298.62	Facility		$216.78	$2,293.00	$6,298.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.40 / $177.30 / $422.01	Professional		$97.40	$177.30	$422.01
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $330.11 / $434.12 / $1,279.50	Professional	50	$330.11	$434.12	$1,279.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.29 / $431.57 / $567.77	Professional		$162.29	$431.57	$567.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $69.56 / $266.20 / $451.21	Professional		$69.56	$266.20	$451.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $186.66 / $422.45 / $1,607.00	Facility		$186.66	$422.45	$1,607.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $197.44 / $415.95 / $768.29	Professional		$197.44	$415.95	$768.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $174.51 / $267.54 / $524.11	Facility		$174.51	$267.54	$524.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $162.29 / $331.56 / $536.84	Professional		$162.29	$331.56	$536.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $75.95 / $188.19 / $363.78	Professional		$75.95	$188.19	$363.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,607.00 / $2,126.00	Facility		$1,204.00	$1,607.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $209.36 / $415.95 / $596.14	Professional		$209.36	$415.95	$596.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $148.80 / $175.10 / $465.50	Professional		$148.80	$175.10	$465.50