Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $603.00 / $5,549.00 / $11,100.08	Facility		$603.00	$5,549.00	$11,100.08
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $598.40 / $598.40 / $598.40	Facility	50	$598.40	$598.40	$598.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.35 / $211.91 / $641.00	Professional		$117.35	$211.91	$641.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $915.00 / $915.00 / $915.00	Professional	50	$915.00	$915.00	$915.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.85 / $291.85 / $388.58	Professional		$137.85	$291.85	$388.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $109.66 / $161.44 / $316.25	Professional		$109.66	$161.44	$316.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $174.45 / $326.33 / $1,371.00	Facility		$174.45	$326.33	$1,371.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $151.55 / $291.85 / $910.64	Professional		$151.55	$291.85	$910.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $131.29 / $266.38 / $361.50	Facility		$131.29	$266.38	$361.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $204.00 / $291.85 / $394.78	Professional		$204.00	$291.85	$394.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $112.92 / $182.27 / $242.42	Professional		$112.92	$182.27	$242.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,026.00 / $1,640.00 / $3,560.25	Facility		$1,026.00	$1,640.00	$3,560.25
United Facility/Professional Professional Modifier Low / Median / High Price $138.91 / $202.06 / $378.87	Professional		$138.91	$202.06	$378.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $199.71 / $252.80 / $297.39	Professional		$199.71	$252.80	$297.39