Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $2,511.89 / $6,760.83	Facility		$112.20	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $128.82 / $338.84	Professional		$74.13	$128.82	$338.84
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $524.81 / $524.81 / $524.81	Professional	50	$524.81	$524.81	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $218.78 / $389.05	Professional		$162.18	$218.78	$389.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $158.49 / $426.58	Professional		$83.18	$158.49	$426.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $288.40 / $2,951.21	Facility		$128.82	$288.40	$2,951.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $263.03 / $588.84	Professional		$138.04	$263.03	$588.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $288.40 / $354.81	Professional		$190.55	$288.40	$354.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $295.12 / $549.54	Professional		$194.98	$295.12	$549.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $154.88 / $309.03	Professional		$75.86	$154.88	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,290.87 / $4,897.79	Facility		$1,513.56	$2,290.87	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $162.18 / $346.74	Professional		$87.10	$162.18	$346.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $199.53 / $302.00	Professional		$147.91	$199.53	$302.00