Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $378.00 / $2,912.34 / $7,119.04	Facility		$378.00	$2,912.34	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.67 / $123.27 / $324.20	Professional		$78.67	$123.27	$324.20
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $204.82 / $204.82 / $204.82	Professional	50	$204.82	$204.82	$204.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.32 / $242.00 / $317.48	Professional		$122.32	$242.00	$317.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $54.43 / $144.61 / $397.40	Professional		$54.43	$144.61	$397.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $96.25 / $238.73 / $1,685.32	Facility		$96.25	$238.73	$1,685.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $118.62 / $233.82 / $895.09	Professional		$118.62	$233.82	$895.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $118.62 / $174.87 / $318.26	Facility		$118.62	$174.87	$318.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $135.24 / $238.73 / $319.81	Professional		$135.24	$238.73	$319.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $52.70 / $111.24 / $205.61	Professional		$52.70	$111.24	$205.61
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 $111.15 / $183.34 / $331.96	Professional		$111.15	$183.34	$331.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $104.60 / $166.30 / $247.60	Professional		$104.60	$166.30	$247.60