Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,147.00 / $4,505.00 / $7,120.36	Facility		$1,147.00	$4,505.00	$7,120.36
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,145.93 / $3,145.93 / $10,471.14	Facility	50	$3,145.93	$3,145.93	$10,471.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $674.85 / $1,010.39 / $1,990.92	Professional		$674.85	$1,010.39	$1,990.92
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,432.62 / $5,685.00 / $5,904.90	Professional	50	$1,432.62	$5,685.00	$5,904.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,491.98 / $1,827.28 / $2,241.05	Professional		$1,491.98	$1,827.28	$2,241.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $619.77 / $1,191.80 / $2,496.65	Professional		$619.77	$1,191.80	$2,496.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,312.34 / $1,922.98 / $8,073.49	Facility		$1,312.34	$1,922.98	$8,073.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,010.37 / $1,832.58 / $6,141.92	Professional		$1,010.37	$1,832.58	$6,141.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,491.98 / $2,035.69 / $2,865.45	Facility		$1,491.98	$2,035.69	$2,865.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,287.25 / $1,667.66 / $2,241.05	Professional		$1,287.25	$1,667.66	$2,241.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,529.80 / $2,163.50	Professional		$5.00	$1,529.80	$2,163.50
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 $899.55 / $1,491.65 / $2,546.36	Professional		$899.55	$1,491.65	$2,546.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,215.40 / $1,429.90 / $1,756.30	Professional		$1,215.40	$1,429.90	$1,756.30