Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.52 / $2,731.68 / $8,394.96	Facility		$173.52	$2,731.68	$8,394.96
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $0.52 / $0.52 / $0.52	Facility	50	$0.52	$0.52	$0.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.77 / $125.27 / $318.76	Professional		$61.77	$125.27	$318.76
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $827.23 / $827.23 / $827.23	Professional	50	$827.23	$827.23	$827.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.47 / $182.89 / $335.01	Professional		$117.47	$182.89	$335.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $63.76 / $127.75 / $719.17	Professional		$63.76	$127.75	$719.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $97.37 / $182.89 / $1,775.00	Facility		$97.37	$182.89	$1,775.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $93.43 / $187.31 / $912.00	Professional		$93.43	$187.31	$912.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $109.68 / $157.76 / $281.42	Facility		$109.68	$157.76	$281.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $123.56 / $182.59 / $288.50	Professional		$123.56	$182.59	$288.50
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $12,146.99 / $26,022.31 / $44,947.60	Facility		$12,146.99	$26,022.31	$44,947.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $63.81 / $121.18 / $221.99	Professional		$63.81	$121.18	$221.99
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 $89.19 / $158.84 / $276.51	Professional		$89.19	$158.84	$276.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $121.90 / $176.41 / $262.70	Professional		$121.90	$176.41	$262.70