Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $2,238.72 / $6,025.60	Facility		$398.11	$2,238.72	$6,025.60
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,454.71 / $4,786.30 / $5,128.61	Facility	50	$2,454.71	$4,786.30	$5,128.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $467.74 / $1,318.26	Professional		$186.21	$467.74	$1,318.26
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $346.74 / $630.96 / $1,995.26	Professional	50	$346.74	$630.96	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $812.83 / $1,288.25	Professional		$416.87	$812.83	$1,288.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $512.86 / $1,258.93	Professional		$177.83	$512.86	$1,258.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $912.01 / $5,754.40	Facility		$363.08	$912.01	$5,754.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $812.83 / $1,659.59	Professional		$416.87	$812.83	$1,659.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $912.01 / $1,122.02	Professional		$478.63	$912.01	$1,122.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $794.33 / $1,096.48	Professional		$426.58	$794.33	$1,096.48
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Facility		$933.25	$933.25	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $5,370.32 / $7,413.10	Facility		$3,019.95	$5,370.32	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $478.63 / $1,096.48	Professional		$239.88	$478.63	$1,096.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $660.69 / $977.24	Professional		$371.54	$660.69	$977.24