Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $2,238.72 / $6,456.54	Facility		$257.04	$2,238.72	$6,456.54
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,737.80 / $3,801.89 / $6,165.95	Facility	50	$1,737.80	$3,801.89	$6,165.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $257.04 / $1,202.26	Professional		$141.25	$257.04	$1,202.26
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $251.19 / $524.81 / $1,288.25	Professional	50	$251.19	$524.81	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $380.19 / $467.74	Professional		$371.54	$380.19	$467.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $275.42 / $537.03	Professional		$154.88	$275.42	$537.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $1,288.25 / $5,128.61	Facility		$295.12	$1,288.25	$5,128.61
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $186.21 / $1,584.89 / $2,041.74	Facility	50	$186.21	$1,584.89	$2,041.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $316.23 / $1,445.44	Professional		$177.83	$316.23	$1,445.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $389.05 / $588.84	Professional		$354.81	$389.05	$588.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $416.87 / $426.58	Professional		$316.23	$416.87	$426.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $323.59 / $407.38	Professional		$3.98	$323.59	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,677.35 / $6,309.57	Facility		$2,570.40	$4,677.35	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $251.19 / $467.74	Professional		$162.18	$251.19	$467.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $363.08	Professional		$309.03	$309.03	$363.08