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 Professional Modifier Low / Median / High Price $64.19 / $127.18 / $298.30	Professional		$64.19	$127.18	$298.30
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $342.05 / $342.05 / $342.05	Professional	50	$342.05	$342.05	$342.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.09 / $173.21 / $273.35	Professional		$116.09	$173.21	$273.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $47.71 / $111.81 / $297.14	Professional		$47.71	$111.81	$297.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $126.61 / $201.12 / $1,204.00	Facility		$126.61	$201.12	$1,204.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $113.54 / $184.87 / $656.02	Professional		$113.54	$184.87	$656.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $113.54 / $173.21 / $231.77	Facility		$113.54	$173.21	$231.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $113.54 / $167.04 / $238.81	Professional		$113.54	$167.04	$238.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $202.10 / $327.10	Professional		$5.00	$202.10	$327.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,151.00 / $1,640.00 / $3,560.25	Facility		$1,151.00	$1,640.00	$3,560.25
United Facility/Professional Professional Modifier Low / Median / High Price $89.42 / $158.16 / $290.86	Professional		$89.42	$158.16	$290.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $98.30 / $115.70 / $176.50	Professional		$98.30	$115.70	$176.50