Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,543.73 / $4,917.20 / $8,905.29	Facility		$1,543.73	$4,917.20	$8,905.29
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $7,342.32 / $9,540.29 / $9,612.83	Facility	50	$7,342.32	$9,540.29	$9,612.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $468.41 / $637.88 / $2,045.00	Professional		$468.41	$637.88	$2,045.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $921.56 / $1,185.01 / $1,481.26	Professional		$921.56	$1,185.01	$1,481.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $476.46 / $728.16 / $1,966.52	Professional		$476.46	$728.16	$1,966.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $616.77 / $1,257.44 / $5,350.00	Facility		$616.77	$1,257.44	$5,350.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $530.29 / $1,005.00 / $3,839.44	Professional		$530.29	$1,005.00	$3,839.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $954.79 / $1,272.83 / $1,676.58	Facility		$954.79	$1,272.83	$1,676.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $769.94 / $1,153.55 / $1,518.17	Professional		$769.94	$1,153.55	$1,518.17
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $858.42 / $858.42 / $858.42	Facility		$858.42	$858.42	$858.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $495.52 / $906.17 / $1,729.73	Professional		$495.52	$906.17	$1,729.73
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $6,588.00 / $10,320.00	Facility		$5,341.00	$6,588.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $503.65 / $771.33 / $1,436.60	Professional		$503.65	$771.33	$1,436.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $803.59 / $1,017.20 / $1,196.70	Professional		$803.59	$1,017.20	$1,196.70