Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $4,964.00 / $9,248.33	Facility		$3,468.00	$4,964.00	$9,248.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $327.92 / $1,736.44 / $3,342.79	Professional		$327.92	$1,736.44	$3,342.79
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $601.09 / $1,806.89 / $2,710.34	Professional	50	$601.09	$1,806.89	$2,710.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $528.19 / $1,918.61 / $5,721.52	Professional		$528.19	$1,918.61	$5,721.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $337.99 / $2,315.96 / $3,349.14	Professional		$337.99	$2,315.96	$3,349.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $636.05 / $3,034.57 / $9,275.33	Facility		$636.05	$3,034.57	$9,275.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,708.97 / $4,062.25 / $7,728.20	Professional		$1,708.97	$4,062.25	$7,728.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $815.04 / $3,226.89 / $5,368.33	Facility		$815.04	$3,226.89	$5,368.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $793.57 / $3,226.89 / $5,368.33	Professional		$793.57	$3,226.89	$5,368.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $2,639.00	Professional		$5.00	$5.00	$2,639.00
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 $2,010.55 / $2,909.44 / $5,919.44	Professional		$2,010.55	$2,909.44	$5,919.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $731.30 / $894.80 / $4,616.60	Professional		$731.30	$894.80	$4,616.60