Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $2,238.72 / $6,456.54	Facility		$162.18	$2,238.72	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $181.97 / $724.44	Professional		$70.79	$181.97	$724.44
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $316.23 / $691.83 / $1,148.15	Professional	50	$316.23	$691.83	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $213.80 / $524.81	Professional		$169.82	$213.80	$524.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $257.04 / $1,122.02	Professional		$93.33	$257.04	$1,122.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $467.74 / $7,244.36	Facility		$165.96	$467.74	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $323.59 / $616.60	Professional		$186.21	$323.59	$616.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $309.03 / $467.74	Professional		$165.96	$309.03	$467.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $204.17 / $478.63	Professional		$199.53	$204.17	$478.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $251.19 / $467.74	Professional		$5.01	$251.19	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $5,370.32 / $7,762.47	Facility		$3,162.28	$5,370.32	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $199.53 / $446.68	Professional		$91.20	$199.53	$446.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $165.96 / $389.05	Professional		$141.25	$165.96	$389.05