Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $527.00 / $2,912.34 / $7,119.04	Facility		$527.00	$2,912.34	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.84 / $132.06 / $405.51	Professional		$70.84	$132.06	$405.51
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $155.43 / $155.43 / $155.43	Professional	50	$155.43	$155.43	$155.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.20 / $249.71 / $419.74	Professional		$166.20	$249.71	$419.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $76.22 / $190.03 / $580.71	Professional		$76.22	$190.03	$580.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $123.33 / $256.00 / $1,970.00	Facility		$123.33	$256.00	$1,970.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $144.29 / $263.13 / $1,157.94	Professional		$144.29	$263.13	$1,157.94
Midlands Facility/Professional Facility Modifier Low / Median / High Price $174.98 / $340.53 / $917.51	Facility		$174.98	$340.53	$917.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $154.82 / $255.29 / $385.92	Professional		$154.82	$255.29	$385.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $73.63 / $146.18 / $961.36	Professional		$73.63	$146.18	$961.36
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 $138.04 / $224.10 / $427.97	Professional		$138.04	$224.10	$427.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $147.00 / $218.99 / $326.20	Professional		$147.00	$218.99	$326.20