Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $2,511.89 / $6,760.83	Facility		$144.54	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $478.63 / $1,479.11	Professional		$93.33	$478.63	$1,479.11
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $138.04 / $707.95 / $3,467.37	Professional	50	$138.04	$707.95	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $281.84 / $1,737.80	Professional		$223.87	$281.84	$1,737.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $831.76 / $1,230.27	Professional		$123.03	$831.76	$1,230.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $1,445.44 / $5,248.07	Facility		$223.87	$1,445.44	$5,248.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $851.14 / $2,187.76	Professional		$263.03	$851.14	$2,187.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $870.96 / $1,621.81	Professional		$213.80	$870.96	$1,621.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $1,659.59	Professional		$263.03	$263.03	$1,659.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $141.25 / $1,737.80	Professional		$6.03	$141.25	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,981.07 / $5,888.44	Facility		$1,819.70	$3,981.07	$5,888.44
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $489.78 / $1,380.38	Professional		$117.49	$489.78	$1,380.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $223.87 / $1,288.25	Professional		$190.55	$223.87	$1,288.25