Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $464.09 / $2,906.00 / $6,298.62	Facility		$464.09	$2,906.00	$6,298.62
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,743.00 / $4,499.05 / $4,499.05	Facility	50	$2,743.00	$4,499.05	$4,499.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.69 / $348.51 / $752.04	Professional		$187.69	$348.51	$752.04
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,084.33 / $1,084.33 / $1,387.31	Professional	50	$1,084.33	$1,084.33	$1,387.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $374.75 / $525.40 / $738.20	Professional		$374.75	$525.40	$738.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $154.05 / $416.73 / $825.58	Professional		$154.05	$416.73	$825.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $376.86 / $616.46 / $4,699.47	Facility		$376.86	$616.46	$4,699.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $352.97 / $569.45 / $2,210.82	Professional		$352.97	$569.45	$2,210.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $384.02 / $646.00 / $1,476.40	Facility		$384.02	$646.00	$1,476.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $366.08 / $510.99 / $676.15	Professional		$366.08	$510.99	$676.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $627.60 / $756.30	Professional		$5.00	$627.60	$756.30
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 $282.37 / $547.37 / $778.88	Professional		$282.37	$547.37	$778.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $310.00 / $364.70 / $560.40	Professional		$310.00	$364.70	$560.40