Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.77 / $271.20 / $489.08	Professional		$150.77	$271.20	$489.08
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $2,116.50 / $2,116.50 / $2,116.50	Professional	50	$2,116.50	$2,116.50	$2,116.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $332.68 / $623.00 / $823.90	Professional		$332.68	$623.00	$823.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $187.32 / $381.24 / $768.59	Professional		$187.32	$381.24	$768.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $317.14 / $490.38 / $5,163.00	Facility		$317.14	$490.38	$5,163.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $325.33 / $623.00 / $1,288.82	Professional		$325.33	$623.00	$1,288.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $304.60 / $399.23 / $733.19	Facility		$304.60	$399.23	$733.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $325.33 / $490.38 / $778.24	Professional		$325.33	$490.38	$778.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $6.00 / $766.30	Professional		$6.00	$6.00	$766.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.26 / $4,293.35 / $7,305.00	Facility		$2,264.26	$4,293.35	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $297.33 / $532.61 / $841.66	Professional		$297.33	$532.61	$841.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $275.50 / $324.10 / $620.60	Professional		$275.50	$324.10	$620.60