Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,365.79 / $3,666.78 / $7,119.04	Facility		$2,365.79	$3,666.78	$7,119.04
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,499.29 / $4,462.74 / $4,943.39	Facility	50	$1,499.29	$4,462.74	$4,943.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.81 / $365.46 / $953.57	Professional		$172.81	$365.46	$953.57
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $414.09 / $1,458.00 / $2,215.67	Professional	50	$414.09	$1,458.00	$2,215.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $355.18 / $579.33 / $760.60	Professional		$355.18	$579.33	$760.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $147.82 / $372.21 / $815.40	Professional		$147.82	$372.21	$815.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $376.98 / $633.21 / $4,699.47	Facility		$376.98	$633.21	$4,699.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $351.52 / $579.33 / $3,411.19	Professional		$351.52	$579.33	$3,411.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $366.39 / $676.02 / $1,476.40	Facility		$366.39	$676.02	$1,476.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $351.52 / $488.05 / $713.32	Professional		$351.52	$488.05	$713.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $615.70 / $742.00	Professional		$5.00	$615.70	$742.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $5,023.00 / $7,305.00	Facility		$3,044.00	$5,023.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $286.36 / $520.44 / $789.87	Professional		$286.36	$520.44	$789.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $297.60 / $350.20 / $577.10	Professional		$297.60	$350.20	$577.10