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 $76.31 / $131.66 / $289.64	Professional		$76.31	$131.66	$289.64
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $460.35 / $460.35 / $460.35	Professional	50	$460.35	$460.35	$460.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.32 / $209.59 / $287.07	Professional		$122.32	$209.59	$287.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $54.59 / $136.51 / $519.17	Professional		$54.59	$136.51	$519.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $99.77 / $231.91 / $1,970.00	Facility		$99.77	$231.91	$1,970.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $102.67 / $209.59 / $1,064.83	Professional		$102.67	$209.59	$1,064.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $135.24 / $282.00 / $917.51	Facility		$135.24	$282.00	$917.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $135.24 / $209.59 / $334.26	Professional		$135.24	$209.59	$334.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $53.49 / $101.14 / $961.36	Professional		$53.49	$101.14	$961.36
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 $89.84 / $176.25 / $283.20	Professional		$89.84	$176.25	$283.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $105.90 / $148.52 / $221.20	Professional		$105.90	$148.52	$221.20