Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $496.27 / $2,906.00 / $6,298.62	Facility		$496.27	$2,906.00	$6,298.62
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,833.40 / $3,150.00 / $5,705.58	Facility	50	$1,833.40	$3,150.00	$5,705.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.20 / $436.95 / $1,033.25	Professional		$261.20	$436.95	$1,033.25
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $218.35 / $687.60 / $2,401.46	Professional	50	$218.35	$687.60	$2,401.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.12 / $647.01 / $1,176.10	Professional		$398.12	$647.01	$1,176.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $164.78 / $416.21 / $914.91	Professional		$164.78	$416.21	$914.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $438.60 / $868.90 / $7,892.27	Facility		$438.60	$868.90	$7,892.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $390.83 / $647.01 / $3,761.00	Professional		$390.83	$647.01	$3,761.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $411.98 / $757.57 / $2,571.84	Facility		$411.98	$757.57	$2,571.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $390.83 / $602.33 / $856.00	Professional		$390.83	$602.33	$856.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,186.66 / $2,186.66 / $2,186.66	Facility		$2,186.66	$2,186.66	$2,186.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $786.10 / $1,019.90	Professional		$5.00	$786.10	$1,019.90
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 $320.68 / $624.40 / $932.41	Professional		$320.68	$624.40	$932.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $330.90 / $389.30 / $644.50	Professional		$330.90	$389.30	$644.50