Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $385.22 / $2,352.00 / $6,298.62	Facility		$385.22	$2,352.00	$6,298.62
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $901.96 / $1,817.21 / $4,867.26	Facility	50	$901.96	$1,817.21	$4,867.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.07 / $136.03 / $479.33	Professional		$85.07	$136.03	$479.33
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $158.93 / $265.01 / $870.96	Professional	50	$158.93	$265.01	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.29 / $230.26 / $325.27	Professional		$107.29	$230.26	$325.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $83.20 / $137.28 / $500.90	Professional		$83.20	$137.28	$500.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $170.51 / $292.24 / $1,371.00	Facility		$170.51	$292.24	$1,371.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $115.84 / $242.26 / $1,169.94	Professional		$115.84	$242.26	$1,169.94
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $32.14 / $32.14 / $220.14	Professional	50	$32.14	$32.14	$220.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $96.61 / $226.75 / $303.95	Facility		$96.61	$226.75	$303.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $193.42 / $237.16 / $344.13	Professional		$193.42	$237.16	$344.13
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $354.08 / $1,941.89 / $3,354.17	Facility		$354.08	$1,941.89	$3,354.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $83.20 / $134.55 / $204.03	Professional		$83.20	$134.55	$204.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,623.00 / $2,126.00	Facility		$1,204.00	$1,623.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $106.18 / $159.69 / $314.23	Professional		$106.18	$159.69	$314.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $167.88 / $203.20 / $250.00	Professional		$167.88	$203.20	$250.00