Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.03 / $1,074.65 / $6,066.00	Facility		$160.03	$1,074.65	$6,066.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.15 / $109.76 / $253.84	Professional		$61.15	$109.76	$253.84
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $524.54 / $524.54 / $524.54	Professional	50	$524.54	$524.54	$524.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.09 / $219.18 / $296.88	Professional		$128.09	$219.18	$296.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $58.58 / $132.41 / $412.45	Professional		$58.58	$132.41	$412.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $94.34 / $236.45 / $1,724.14	Facility		$94.34	$236.45	$1,724.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $114.00 / $228.60 / $1,297.00	Professional		$114.00	$228.60	$1,297.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $130.46 / $254.71 / $699.52	Facility		$130.46	$254.71	$699.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $128.09 / $214.70 / $302.43	Professional		$128.09	$214.70	$302.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $56.65 / $107.46 / $766.06	Professional		$56.65	$107.46	$766.06
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,482.00 / $5,454.00	Facility		$1,775.00	$3,482.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $99.75 / $191.17 / $309.25	Professional		$99.75	$191.17	$309.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $112.90 / $149.55 / $222.70	Professional		$112.90	$149.55	$222.70