Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $5,463.36 / $10,506.16	Facility		$4,277.00	$5,463.36	$10,506.16
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,804.72 / $13,994.39 / $13,994.39	Facility	50	$4,804.72	$13,994.39	$13,994.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $367.08 / $472.82 / $906.21	Professional		$367.08	$472.82	$906.21
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $926.51 / $2,264.21 / $3,030.00	Professional	50	$926.51	$2,264.21	$3,030.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $703.06 / $841.00 / $1,069.31	Professional		$703.06	$841.00	$1,069.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $297.87 / $567.94 / $1,217.38	Professional		$297.87	$567.94	$1,217.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $737.59 / $1,116.79 / $14,595.02	Facility		$737.59	$1,116.79	$14,595.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $434.40 / $792.82 / $6,125.60	Professional		$434.40	$792.82	$6,125.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $671.98 / $977.10 / $4,487.09	Facility		$671.98	$977.10	$4,487.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $593.53 / $791.19 / $993.83	Professional		$593.53	$791.19	$993.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $773.60 / $852.70	Professional		$5.00	$773.60	$852.70
United Facility/Professional Facility Modifier Low / Median / High Price $6,036.00 / $10,030.96 / $17,777.98	Facility		$6,036.00	$10,030.96	$17,777.98
United Facility/Professional Professional Modifier Low / Median / High Price $372.32 / $731.88 / $1,011.89	Professional		$372.32	$731.88	$1,011.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $595.29 / $595.29 / $700.40	Professional		$595.29	$595.29	$700.40