Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $3,090.30 / $6,760.83	Facility		$223.87	$3,090.30	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $223.87 / $933.25	Professional		$131.83	$223.87	$933.25
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Professional	50	$1,584.89	$1,584.89	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $446.68 / $630.96	Professional		$323.59	$446.68	$630.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $346.74 / $524.81	Professional		$134.90	$346.74	$524.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $537.03 / $1,621.81	Facility		$269.15	$537.03	$1,621.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $389.05 / $1,023.29	Professional		$245.47	$389.05	$1,023.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $457.09 / $588.84	Professional		$302.00	$457.09	$588.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $371.54 / $588.84	Professional		$269.15	$371.54	$588.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $467.74 / $588.84	Professional		$5.01	$467.74	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,584.89 / $2,344.23	Facility		$1,000.00	$1,584.89	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $275.42 / $537.03	Professional		$151.36	$275.42	$537.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $309.03 / $478.63	Professional		$263.03	$309.03	$478.63