Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,576.15 / $7,119.04	Facility		$2,218.00	$3,576.15	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.98 / $207.97 / $348.47	Professional		$75.98	$207.97	$348.47
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $220.42 / $220.42 / $220.42	Professional	50	$220.42	$220.42	$220.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.55 / $272.79 / $657.37	Professional		$179.55	$272.79	$657.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $87.48 / $288.67 / $828.95	Professional		$87.48	$288.67	$828.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $128.76 / $364.52 / $1,778.52	Facility		$128.76	$364.52	$1,778.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $205.37 / $409.03 / $780.78	Professional		$205.37	$409.03	$780.78
Midlands Facility/Professional Facility Modifier Low / Median / High Price $179.55 / $488.51 / $707.92	Facility		$179.55	$488.51	$707.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $179.55 / $425.80 / $643.48	Professional		$179.55	$425.80	$643.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $78.97 / $222.74 / $766.06	Professional		$78.97	$222.74	$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 $208.49 / $317.70 / $595.73	Professional		$208.49	$317.70	$595.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $157.90 / $340.73 / $507.40	Professional		$157.90	$340.73	$507.40