Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $603.00 / $2,705.51 / $7,119.04	Facility		$603.00	$2,705.51	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.72 / $276.48 / $585.14	Professional		$125.72	$276.48	$585.14
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $288.25 / $1,130.83 / $2,121.00	Professional	50	$288.25	$1,130.83	$2,121.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $285.30 / $462.29 / $770.34	Professional		$285.30	$462.29	$770.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $125.07 / $347.95 / $994.74	Professional		$125.07	$347.95	$994.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $209.42 / $505.35 / $1,996.86	Facility		$209.42	$505.35	$1,996.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $268.58 / $512.96 / $1,990.16	Professional		$268.58	$512.96	$1,990.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $285.30 / $618.54 / $917.51	Facility		$285.30	$618.54	$917.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $285.30 / $478.58 / $699.74	Professional		$285.30	$478.58	$699.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $125.34 / $263.87 / $961.36	Professional		$125.34	$263.87	$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 $253.56 / $451.59 / $786.12	Professional		$253.56	$451.59	$786.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $251.60 / $401.56 / $598.00	Professional		$251.60	$401.56	$598.00