Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $2,290.87 / $5,370.32	Facility		$186.21	$2,290.87	$5,370.32
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,454.71 / $3,388.44 / $4,265.80	Facility	50	$2,454.71	$3,388.44	$4,265.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $208.93 / $776.25	Professional		$102.33	$208.93	$776.25
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $173.78 / $588.84 / $1,737.80	Professional	50	$173.78	$588.84	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $309.03 / $575.44	Professional		$208.93	$309.03	$575.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $229.09 / $912.01	Professional		$104.71	$229.09	$912.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $398.11 / $2,951.21	Facility		$194.98	$398.11	$2,951.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $371.54 / $1,023.29	Professional		$204.17	$371.54	$1,023.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $363.08 / $512.86	Professional		$234.42	$363.08	$512.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $371.54 / $478.63	Professional		$213.80	$371.54	$478.63
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
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 $109.65 / $218.78 / $501.19	Professional		$109.65	$218.78	$501.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $295.12 / $436.52	Professional		$204.17	$295.12	$436.52