Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $672.80 / $3,034.03 / $6,066.00	Facility		$672.80	$3,034.03	$6,066.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,389.44 / $2,389.44 / $2,389.44	Facility	50	$2,389.44	$2,389.44	$2,389.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $228.60 / $1,102.40 / $1,917.45	Professional		$228.60	$1,102.40	$1,917.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $359.27 / $952.93 / $3,461.15	Professional		$359.27	$952.93	$3,461.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $216.06 / $1,553.14 / $2,427.01	Professional		$216.06	$1,553.14	$2,427.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $451.11 / $1,597.02 / $3,374.71	Facility		$451.11	$1,597.02	$3,374.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $616.52 / $2,629.39 / $8,961.76	Professional		$616.52	$2,629.39	$8,961.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $504.36 / $2,392.00 / $3,761.75	Facility		$504.36	$2,392.00	$3,761.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $504.36 / $2,207.14 / $3,504.21	Professional		$504.36	$2,207.14	$3,504.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $231.05 / $1,045.40 / $2,153.57	Professional		$231.05	$1,045.40	$2,153.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,026.00 / $1,623.00 / $2,126.00	Facility		$1,026.00	$1,623.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,378.26 / $2,267.92 / $4,075.93	Professional		$1,378.26	$2,267.92	$4,075.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $462.40 / $565.79 / $2,776.50	Professional		$462.40	$565.79	$2,776.50