Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $853.13 / $2,977.00 / $6,066.00	Facility		$853.13	$2,977.00	$6,066.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,584.17 / $3,584.17 / $5,100.89	Facility	50	$3,584.17	$3,584.17	$5,100.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.81 / $1,270.78 / $2,489.11	Professional		$297.81	$1,270.78	$2,489.11
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $2,332.66 / $6,741.77 / $7,110.71	Professional	50	$2,332.66	$6,741.77	$7,110.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $448.25 / $1,480.49 / $3,993.24	Professional		$448.25	$1,480.49	$3,993.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $272.27 / $1,779.14 / $3,706.65	Professional		$272.27	$1,779.14	$3,706.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $628.28 / $2,018.94 / $4,294.84	Facility		$628.28	$2,018.94	$4,294.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $781.85 / $3,307.57 / $11,617.10	Professional		$781.85	$3,307.57	$11,617.10
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $566.97 / $566.97 / $566.97	Professional	50	$566.97	$566.97	$566.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $633.91 / $2,946.85 / $4,278.72	Facility		$633.91	$2,946.85	$4,278.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $633.91 / $2,574.26 / $4,035.61	Professional		$633.91	$2,574.26	$4,035.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $289.16 / $1,198.16 / $2,464.78	Professional		$289.16	$1,198.16	$2,464.78
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 $1,560.15 / $2,835.10 / $4,614.55	Professional		$1,560.15	$2,835.10	$4,614.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $581.20 / $711.10 / $3,178.50	Professional		$581.20	$711.10	$3,178.50