Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $2,290.87 / $6,165.95	Facility		$398.11	$2,290.87	$6,165.95
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,258.93 / $4,466.84 / $5,128.61	Facility	50	$1,258.93	$4,466.84	$5,128.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $457.09 / $1,659.59	Professional		$186.21	$457.09	$1,659.59
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $269.15 / $851.14 / $3,090.30	Professional	50	$269.15	$851.14	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $831.76 / $1,288.25	Professional		$416.87	$831.76	$1,288.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $512.86 / $1,479.11	Professional		$177.83	$512.86	$1,479.11
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 Facility Modifier 50 Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Facility	50	$2,754.23	$2,754.23	$2,754.23
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 $416.87 / $776.25 / $1,122.02	Professional		$416.87	$776.25	$1,122.02
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Facility		$912.01	$912.01	$912.01
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 $234.42 / $467.74 / $1,096.48	Professional		$234.42	$467.74	$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