Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $1,230.27 / $5,370.32	Facility		$85.11	$1,230.27	$5,370.32
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $0.93 / $2,089.30 / $4,677.35	Facility	50	$0.93	$2,089.30	$4,677.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $234.42 / $1,096.48	Professional		$57.54	$234.42	$1,096.48
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $81.28 / $323.59 / $1,174.90	Professional	50	$81.28	$323.59	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $331.13 / $707.95	Professional		$112.20	$331.13	$707.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $275.42 / $691.83	Professional		$58.88	$275.42	$691.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $295.12 / $1,380.38	Facility		$85.11	$295.12	$1,380.38
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 $147.91 / $331.13 / $891.25	Professional		$147.91	$331.13	$891.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $380.19 / $616.60	Professional		$128.82	$380.19	$616.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $323.59 / $616.60	Professional		$112.20	$323.59	$616.60
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Facility		$2,041.74	$2,041.74	$2,041.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $3,548.13	Facility		$1,148.15	$1,621.81	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $165.96 / $446.68	Professional		$64.57	$165.96	$446.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $354.81 / $524.81	Professional		$112.20	$354.81	$524.81