Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,175.39 / $3,701.00 / $7,119.04	Facility		$1,175.39	$3,701.00	$7,119.04
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $9,562.28 / $9,562.28 / $9,562.28	Facility	50	$9,562.28	$9,562.28	$9,562.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $355.10 / $618.63 / $1,466.78	Professional		$355.10	$618.63	$1,466.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $834.05 / $1,126.53 / $1,401.56	Professional		$834.05	$1,126.53	$1,401.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $387.23 / $730.85 / $1,117.30	Professional		$387.23	$730.85	$1,117.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $700.38 / $1,148.47 / $8,073.49	Facility		$700.38	$1,148.47	$8,073.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $576.00 / $1,139.65 / $3,814.08	Professional		$576.00	$1,139.65	$3,814.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $834.05 / $1,244.89 / $2,865.45	Facility		$834.05	$1,244.89	$2,865.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $722.00 / $1,014.22 / $1,389.31	Professional		$722.00	$1,014.22	$1,389.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $443.60 / $805.14 / $3,086.18	Professional		$443.60	$805.14	$3,086.18
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,732.00 / $8,342.00	Facility		$4,217.00	$5,732.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $514.08 / $970.12 / $1,533.02	Professional		$514.08	$970.12	$1,533.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $756.50 / $890.00 / $1,100.70	Professional		$756.50	$890.00	$1,100.70