Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $285.72 / $2,590.92 / $6,298.62	Facility		$285.72	$2,590.92	$6,298.62
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,119.79 / $3,426.00 / $3,795.64	Facility	50	$2,119.79	$3,426.00	$3,795.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.18 / $191.25 / $433.09	Professional		$103.18	$191.25	$433.09
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $162.99 / $382.19 / $937.63	Professional	50	$162.99	$382.19	$937.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.97 / $324.55 / $558.03	Professional		$229.97	$324.55	$558.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $97.08 / $230.98 / $886.66	Professional		$97.08	$230.98	$886.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $196.50 / $343.23 / $1,996.86	Facility		$196.50	$343.23	$1,996.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $207.45 / $378.91 / $1,012.00	Professional		$207.45	$378.91	$1,012.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $229.97 / $419.22 / $917.51	Facility		$229.97	$419.22	$917.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $229.80 / $359.64 / $520.92	Professional		$229.80	$359.64	$520.92
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $460.77 / $460.77 / $460.77	Facility		$460.77	$460.77	$460.77
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 $194.42 / $290.64 / $587.22	Professional		$194.42	$290.64	$587.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $202.80 / $291.98 / $434.90	Professional		$202.80	$291.98	$434.90