Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $3,576.15 / $7,119.04	Facility		$1,300.00	$3,576.15	$7,119.04
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $279.25 / $1,320.73 / $1,320.73	Facility	50	$279.25	$1,320.73	$1,320.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.64 / $85.05 / $188.31	Professional		$49.64	$85.05	$188.31
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $73.01 / $144.74 / $437.12	Professional	50	$73.01	$144.74	$437.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $151.22 / $260.02	Professional		$110.00	$151.22	$260.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $47.47 / $108.45 / $516.24	Professional		$47.47	$108.45	$516.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.35 / $141.68 / $294.63	Facility		$83.35	$141.68	$294.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $97.29 / $173.02 / $387.28	Professional		$97.29	$173.02	$387.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $111.35 / $167.99 / $237.22	Facility		$111.35	$167.99	$237.22
Midlands Facility/Professional Professional Modifier Low / Median / High Price $108.06 / $167.99 / $244.97	Professional		$108.06	$167.99	$244.97
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $477.47 / $477.47 / $477.47	Facility		$477.47	$477.47	$477.47
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 $88.83 / $135.36 / $265.63	Professional		$88.83	$135.36	$265.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $98.20 / $136.35 / $203.10	Professional		$98.20	$136.35	$203.10