Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $2,238.72 / $6,456.54	Facility		$114.82	$2,238.72	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $190.55 / $478.63	Professional		$87.10	$190.55	$478.63
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $331.13 / $1,047.13 / $1,288.25	Professional	50	$331.13	$1,047.13	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $426.58 / $575.44	Professional		$162.18	$426.58	$575.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $269.15 / $588.84	Professional		$72.44	$269.15	$588.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $478.63 / $1,621.81	Facility		$194.98	$478.63	$1,621.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $338.84 / $691.83	Professional		$181.97	$338.84	$691.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $426.58 / $537.03	Professional		$181.97	$426.58	$537.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $537.03	Professional		$199.53	$199.53	$537.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $177.83 / $416.87	Professional		$74.13	$177.83	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,318.26 / $2,344.23	Facility		$758.58	$1,318.26	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $218.78 / $501.19	Professional		$87.10	$218.78	$501.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $173.78 / $467.74	Professional		$147.91	$173.78	$467.74