Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $453.00 / $2,912.34 / $7,119.04	Facility		$453.00	$2,912.34	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.55 / $125.29 / $347.58	Professional		$60.55	$125.29	$347.58
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $144.25 / $144.25 / $144.25	Professional	50	$144.25	$144.25	$144.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.91 / $252.06 / $389.55	Professional		$133.91	$252.06	$389.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $61.55 / $176.71 / $528.15	Professional		$61.55	$176.71	$528.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $88.08 / $243.64 / $700.23	Facility		$88.08	$243.64	$700.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $132.11 / $263.93 / $1,092.20	Professional		$132.11	$263.93	$1,092.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $133.91 / $275.83 / $348.16	Facility		$133.91	$275.83	$348.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $133.91 / $231.84 / $348.16	Professional		$133.91	$231.84	$348.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $56.50 / $120.03 / $247.53	Professional		$56.50	$120.03	$247.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,640.00 / $2,126.00	Facility		$1,204.00	$1,640.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $123.77 / $192.16 / $390.96	Professional		$123.77	$192.16	$390.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $118.10 / $203.27 / $302.80	Professional		$118.10	$203.27	$302.80