Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,350.51 / $3,666.78 / $7,119.04	Facility		$2,350.51	$3,666.78	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.02 / $1,404.70 / $2,373.16	Professional		$284.02	$1,404.70	$2,373.16
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $218.50 / $218.50 / $628.94	Professional	50	$218.50	$218.50	$628.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $483.36 / $1,492.79 / $4,559.68	Professional		$483.36	$1,492.79	$4,559.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $301.98 / $1,856.66 / $2,827.02	Professional		$301.98	$1,856.66	$2,827.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $581.34 / $2,849.38 / $6,558.00	Facility		$581.34	$2,849.38	$6,558.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,342.08 / $3,332.42 / $6,069.85	Professional		$1,342.08	$3,332.42	$6,069.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $711.07 / $2,849.38 / $4,227.45	Facility		$711.07	$2,849.38	$4,227.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $707.88 / $2,738.59 / $4,227.45	Professional		$707.88	$2,738.59	$4,227.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $2,105.00	Professional		$5.00	$5.00	$2,105.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $6,588.00 / $10,320.00	Facility		$5,341.00	$6,588.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,591.73 / $2,707.27 / $4,649.22	Professional		$1,591.73	$2,707.27	$4,649.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $651.90 / $797.60 / $3,689.50	Professional		$651.90	$797.60	$3,689.50