Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,576.15 / $7,119.04	Facility		$2,218.00	$3,576.15	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.71 / $129.52 / $182.03	Professional		$95.71	$129.52	$182.03
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $49.80 / $49.80 / $49.80	Professional	50	$49.80	$49.80	$49.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.47 / $233.57 / $303.85	Professional		$106.47	$233.57	$303.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $88.84 / $131.44 / $317.76	Professional		$88.84	$131.44	$317.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $164.56 / $259.41 / $1,371.00	Facility		$164.56	$259.41	$1,371.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $116.81 / $235.56 / $747.84	Professional		$116.81	$235.56	$747.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $109.94 / $217.62 / $278.63	Facility		$109.94	$217.62	$278.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $183.00 / $236.94 / $309.89	Professional		$183.00	$236.94	$309.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $93.37 / $152.94 / $188.50	Professional		$93.37	$152.94	$188.50
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 $107.07 / $155.74 / $292.02	Professional		$107.07	$155.74	$292.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $155.38 / $206.20 / $231.40	Professional		$155.38	$206.20	$231.40