Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $2,238.72 / $6,025.60	Facility		$120.23	$2,238.72	$6,025.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $208.93 / $616.60	Professional		$77.62	$208.93	$616.60
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $660.69 / $1,096.48 / $1,096.48	Professional	50	$660.69	$1,096.48	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $245.47 / $676.08	Professional		$162.18	$245.47	$676.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $263.03 / $741.31	Professional		$77.62	$263.03	$741.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $389.05 / $2,951.21	Facility		$134.90	$389.05	$2,951.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $371.54 / $1,584.89	Professional		$190.55	$371.54	$1,584.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $457.09 / $575.44	Professional		$186.21	$457.09	$575.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $363.08 / $575.44	Professional		$158.49	$363.08	$575.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $186.21 / $489.78	Professional		$79.43	$186.21	$489.78
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 $85.11 / $208.93 / $524.81	Professional		$85.11	$208.93	$524.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $338.84 / $512.86	Professional		$162.18	$338.84	$512.86