Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $737.06 / $3,701.00 / $7,119.04	Facility		$737.06	$3,701.00	$7,119.04
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,421.65 / $3,058.97 / $4,806.42	Facility	50	$2,421.65	$3,058.97	$4,806.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $291.39 / $387.93 / $1,370.00	Professional		$291.39	$387.93	$1,370.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $202.35 / $504.54 / $1,366.80	Professional	50	$202.35	$504.54	$1,366.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $577.15 / $689.32 / $848.62	Professional		$577.15	$689.32	$848.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $244.36 / $465.93 / $959.46	Professional		$244.36	$465.93	$959.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $593.54 / $887.64 / $14,595.02	Facility		$593.54	$887.64	$14,595.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $345.90 / $643.97 / $5,305.00	Professional		$345.90	$643.97	$5,305.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $549.28 / $800.40 / $4,487.09	Facility		$549.28	$800.40	$4,487.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $482.91 / $631.41 / $800.40	Professional		$482.91	$631.41	$800.40
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $7,117.79 / $7,117.79 / $7,117.79	Facility		$7,117.79	$7,117.79	$7,117.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $593.20 / $677.60	Professional		$5.00	$593.20	$677.60
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 $304.60 / $575.04 / $826.29	Professional		$304.60	$575.04	$826.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $488.70 / $488.70 / $574.90	Professional		$488.70	$488.70	$574.90