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 Facility Modifier 50 Low / Median / High Price $4,383.13 / $11,864.14 / $18,524.09	Facility	50	$4,383.13	$11,864.14	$18,524.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.26 / $1,398.80 / $2,513.67	Professional		$285.26	$1,398.80	$2,513.67
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,052.33 / $2,360.30 / $7,833.87	Professional	50	$1,052.33	$2,360.30	$7,833.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $485.69 / $1,506.58 / $4,811.92	Professional		$485.69	$1,506.58	$4,811.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $303.64 / $1,952.52 / $2,701.46	Professional		$303.64	$1,952.52	$2,701.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $583.75 / $2,730.07 / $9,275.33	Facility		$583.75	$2,730.07	$9,275.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,399.75 / $3,477.22 / $6,333.61	Professional		$1,399.75	$3,477.22	$6,333.61
Midlands Facility/Professional Facility Modifier Low / Median / High Price $715.43 / $2,877.30 / $4,391.38	Facility		$715.43	$2,877.30	$4,391.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $711.04 / $2,848.36 / $4,391.38	Professional		$711.04	$2,848.36	$4,391.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $2,219.30	Professional		$5.00	$5.00	$2,219.30
United Facility/Professional Facility Modifier Low / Median / High Price $8,220.00 / $9,259.00 / $14,242.22	Facility		$8,220.00	$9,259.00	$14,242.22
United Facility/Professional Professional Modifier Low / Median / High Price $1,646.77 / $2,980.52 / $4,851.24	Professional		$1,646.77	$2,980.52	$4,851.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $655.90 / $802.50 / $3,886.50	Professional		$655.90	$802.50	$3,886.50