Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $2,238.72 / $5,888.44	Facility		$269.15	$2,238.72	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $295.12 / $977.24	Professional		$125.89	$295.12	$977.24
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $288.40 / $831.76 / $2,511.89	Professional	50	$288.40	$831.76	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $416.87 / $794.33	Professional		$263.03	$416.87	$794.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $309.03 / $1,000.00	Professional		$120.23	$309.03	$1,000.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $562.34 / $2,951.21	Facility		$194.98	$562.34	$2,951.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $501.19 / $1,905.46	Professional		$263.03	$501.19	$1,905.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $562.34 / $691.83	Professional		$309.03	$562.34	$691.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $457.09 / $676.08	Professional		$263.03	$457.09	$676.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $269.15 / $588.84	Professional		$120.23	$269.15	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,884.03 / $4,897.79	Facility		$1,621.81	$2,884.03	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $288.40 / $660.69	Professional		$134.90	$288.40	$660.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $398.11 / $602.56	Professional		$251.19	$398.11	$602.56