Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,454.77 / $2,977.00 / $5,503.04	Facility		$1,454.77	$2,977.00	$5,503.04
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,818.00 / $7,317.07 / $7,317.07	Facility	50	$2,818.00	$7,317.07	$7,317.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.55 / $665.37 / $3,483.00	Professional		$165.55	$665.37	$3,483.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $329.69 / $423.64 / $1,409.20	Professional		$329.69	$423.64	$1,409.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $141.19 / $569.63 / $833.35	Professional		$141.19	$569.63	$833.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $369.97 / $1,176.11 / $4,645.00	Facility		$369.97	$1,176.11	$4,645.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $408.02 / $1,299.24 / $2,353.38	Professional		$408.02	$1,299.24	$2,353.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $371.10 / $1,140.33 / $1,451.85	Facility		$371.10	$1,140.33	$1,451.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $329.69 / $1,048.03 / $1,538.18	Professional		$329.69	$1,048.03	$1,538.18
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,587.75 / $4,749.04 / $8,202.87	Facility		$1,587.75	$4,749.04	$8,202.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $146.10 / $450.41 / $1,421.20	Professional		$146.10	$450.41	$1,421.20
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $5,023.00 / $7,305.00	Facility		$3,044.00	$5,023.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $679.84 / $1,241.75 / $2,126.84	Professional		$679.84	$1,241.75	$2,126.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $268.60 / $316.00 / $1,004.40	Professional		$268.60	$316.00	$1,004.40