Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $525.84 / $2,546.00 / $6,630.34	Facility		$525.84	$2,546.00	$6,630.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.06 / $201.87 / $971.52	Professional		$77.06	$201.87	$971.52
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $513.26 / $1,097.84 / $1,114.74	Professional	50	$513.26	$1,097.84	$1,114.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.51 / $209.38 / $509.34	Professional		$167.51	$209.38	$509.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $98.17 / $229.45 / $565.58	Professional		$98.17	$229.45	$565.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $166.48 / $413.56 / $6,965.03	Facility		$166.48	$413.56	$6,965.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $189.31 / $398.38 / $632.41	Professional		$189.31	$398.38	$632.41
Midlands Facility/Professional Facility Modifier Low / Median / High Price $184.74 / $413.56 / $2,256.42	Facility		$184.74	$413.56	$2,256.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $166.48 / $309.80 / $473.56	Professional		$166.48	$309.80	$473.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $227.10 / $469.40	Professional		$5.00	$227.10	$469.40
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $5,023.00 / $7,305.00	Facility		$3,044.00	$5,023.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $197.54 / $321.89 / $535.89	Professional		$197.54	$321.89	$535.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $140.00 / $164.70 / $387.90	Professional		$140.00	$164.70	$387.90