Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $2,511.89 / $6,760.83	Facility		$223.87	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $229.09 / $831.76	Professional		$131.83	$229.09	$831.76
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $323.59 / $478.63 / $1,479.11	Professional	50	$323.59	$478.63	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $302.00 / $478.63	Professional		$147.91	$302.00	$478.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $165.96 / $436.52	Professional		$114.82	$165.96	$436.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $436.52 / $1,621.81	Facility		$281.84	$436.52	$1,621.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $363.08 / $954.99	Professional		$204.17	$363.08	$954.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $363.08 / $478.63	Professional		$295.12	$363.08	$478.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $204.17 / $331.13	Professional		$112.20	$204.17	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,202.26 / $2,344.23	Facility		$588.84	$1,202.26	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $257.04 / $446.68	Professional		$144.54	$257.04	$446.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $281.84 / $354.81	Professional		$239.88	$281.84	$354.81