Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $4,917.20 / $8,042.03	Facility		$3,468.00	$4,917.20	$8,042.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.24 / $1,155.41 / $4,647.96	Professional		$189.24	$1,155.41	$4,647.96
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $193.78 / $3,121.58 / $22,452.02	Professional	50	$193.78	$3,121.58	$22,452.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $399.68 / $3,481.79 / $4,947.06	Professional		$399.68	$3,481.79	$4,947.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $166.35 / $1,855.40 / $6,212.33	Professional		$166.35	$1,855.40	$6,212.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $440.58 / $4,585.87 / $10,794.11	Facility		$440.58	$4,585.87	$10,794.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $473.56 / $4,476.35 / $18,915.68	Professional		$473.56	$4,476.35	$18,915.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $413.75 / $2,863.96 / $5,405.49	Facility		$413.75	$2,863.96	$5,405.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $393.73 / $3,481.79 / $5,405.49	Professional		$393.73	$3,481.79	$5,405.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $4,293.30 / $5,173.30	Professional		$5.00	$4,293.30	$5,173.30
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $7,091.00 / $10,320.00	Facility		$5,341.00	$7,091.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,135.21 / $4,306.00 / $5,889.62	Professional		$2,135.21	$4,306.00	$5,889.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $333.40 / $392.20 / $3,468.40	Professional		$333.40	$392.20	$3,468.40