Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,496.00 / $5,741.62 / $8,504.04	Facility		$3,496.00	$5,741.62	$8,504.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $337.93 / $904.27 / $1,540.71	Professional		$337.93	$904.27	$1,540.71
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,454.26 / $1,454.26 / $1,454.26	Professional	50	$1,454.26	$1,454.26	$1,454.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $582.77 / $729.00 / $2,727.82	Professional		$582.77	$729.00	$2,727.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $254.38 / $1,295.27 / $4,353.22	Professional		$254.38	$1,295.27	$4,353.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $658.61 / $2,735.70 / $8,545.00	Facility		$658.61	$2,735.70	$8,545.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $729.00 / $2,435.05 / $9,157.00	Professional		$729.00	$2,435.05	$9,157.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $635.49 / $2,554.19 / $3,174.38	Facility		$635.49	$2,554.19	$3,174.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $595.33 / $2,053.10 / $3,140.75	Professional		$595.33	$2,053.10	$3,140.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $280.73 / $892.81 / $3,215.07	Professional		$280.73	$892.81	$3,215.07
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $7,091.00 / $10,320.00	Facility		$5,341.00	$7,091.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,188.83 / $2,397.46 / $3,480.82	Professional		$1,188.83	$2,397.46	$3,480.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $545.79 / $642.10 / $2,214.50	Professional		$545.79	$642.10	$2,214.50