Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $670.49 / $4,277.00 / $7,119.04	Facility		$670.49	$4,277.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.45 / $210.25 / $603.36	Professional		$126.45	$210.25	$603.36
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $361.52 / $1,431.00 / $1,503.00	Professional	50	$361.52	$1,431.00	$1,503.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.10 / $348.65 / $552.19	Professional		$267.10	$348.65	$552.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $109.83 / $263.12 / $419.86	Professional		$109.83	$263.12	$419.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $235.23 / $337.52 / $1,204.00	Facility		$235.23	$337.52	$1,204.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $229.41 / $415.58 / $1,422.08	Professional		$229.41	$415.58	$1,422.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $204.81 / $299.76 / $497.87	Facility		$204.81	$299.76	$497.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $244.80 / $356.36 / $518.83	Professional		$244.80	$356.36	$518.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $373.80 / $514.10	Professional		$4.00	$373.80	$514.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,607.00 / $2,126.00	Facility		$1,204.00	$1,607.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $201.40 / $338.82 / $570.10	Professional		$201.40	$338.82	$570.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $231.40 / $272.20 / $423.50	Professional		$231.40	$272.20	$423.50