Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,115.19 / $4,080.55 / $7,119.04	Facility		$1,115.19	$4,080.55	$7,119.04
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,408.55 / $6,408.55 / $6,408.55	Facility	50	$6,408.55	$6,408.55	$6,408.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $554.91 / $974.84 / $2,547.90	Professional		$554.91	$974.84	$2,547.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,231.56 / $1,456.31 / $1,794.85	Professional		$1,231.56	$1,456.31	$1,794.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $610.87 / $958.98 / $1,971.65	Professional		$610.87	$958.98	$1,971.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $615.94 / $1,751.79 / $8,723.79	Facility		$615.94	$1,751.79	$8,723.79
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $826.90 / $826.90 / $826.90	Facility	AS	$826.90	$826.90	$826.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $708.07 / $1,359.53 / $4,805.92	Professional		$708.07	$1,359.53	$4,805.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $966.83 / $1,777.47 / $2,865.45	Facility		$966.83	$1,777.47	$2,865.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $762.42 / $1,456.31 / $1,777.47	Professional		$762.42	$1,456.31	$1,777.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $657.21 / $1,234.08 / $3,176.95	Professional		$657.21	$1,234.08	$3,176.95
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 $677.35 / $1,151.38 / $2,004.32	Professional		$677.35	$1,151.38	$2,004.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,186.30 / $1,186.30 / $1,395.70	Professional		$1,186.30	$1,186.30	$1,395.70