Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,146.00 / $4,964.00 / $9,185.68	Facility		$4,146.00	$4,964.00	$9,185.68
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,253.25 / $5,253.25 / $5,253.25	Facility	50	$5,253.25	$5,253.25	$5,253.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.03 / $355.76 / $987.93	Professional		$251.03	$355.76	$987.93
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $171.32 / $591.78 / $2,011.50	Professional	50	$171.32	$591.78	$2,011.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $529.83 / $730.44 / $1,256.30	Professional		$529.83	$730.44	$1,256.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $224.22 / $530.99 / $820.18	Professional		$224.22	$530.99	$820.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $516.76 / $994.49 / $12,814.12	Facility		$516.76	$994.49	$12,814.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $456.19 / $917.40 / $4,486.05	Professional		$456.19	$917.40	$4,486.05
Midlands Facility/Professional Facility Modifier Low / Median / High Price $529.83 / $954.88 / $4,487.09	Facility		$529.83	$954.88	$4,487.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $495.00 / $649.73 / $1,124.16	Professional		$495.00	$649.73	$1,124.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $527.00 / $1,169.40	Professional		$5.00	$527.00	$1,169.40
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 $416.52 / $745.09 / $1,291.33	Professional		$416.52	$745.09	$1,291.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $448.60 / $527.79 / $951.20	Professional		$448.60	$527.79	$951.20