Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.32 / $2,373.00 / $6,298.62	Facility		$182.32	$2,373.00	$6,298.62
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,502.00 / $3,502.00 / $3,502.00	Facility	50	$3,502.00	$3,502.00	$3,502.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $171.53 / $474.57	Professional		$63.06	$171.53	$474.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.44 / $274.80 / $914.47	Professional		$89.44	$274.80	$914.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $80.53 / $391.69 / $533.97	Professional		$80.53	$391.69	$533.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $122.08 / $447.32 / $1,781.53	Facility		$122.08	$447.32	$1,781.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $200.43 / $510.38 / $1,182.09	Professional		$200.43	$510.38	$1,182.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $123.13 / $364.31 / $777.52	Facility		$123.13	$364.31	$777.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $123.13 / $319.54 / $777.52	Professional		$123.13	$319.54	$777.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $416.90	Professional		$5.00	$5.00	$416.90
United Facility/Professional Facility Modifier Low / Median / High Price $876.39 / $1,714.16 / $4,679.00	Facility		$876.39	$1,714.16	$4,679.00
United Facility/Professional Professional Modifier Low / Median / High Price $252.01 / $454.48 / $791.17	Professional		$252.01	$454.48	$791.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $127.10 / $155.50 / $700.60	Professional		$127.10	$155.50	$700.60