Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $690.76 / $6,298.62 / $11,847.32	Facility		$690.76	$6,298.62	$11,847.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.74 / $676.58 / $1,865.47	Professional		$211.74	$676.58	$1,865.47
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $181.78 / $561.45 / $932.74	Professional	52	$181.78	$561.45	$932.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $510.31 / $2,221.36 / $3,372.53	Professional		$510.31	$2,221.36	$3,372.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $300.70 / $1,506.69 / $2,274.16	Professional		$300.70	$1,506.69	$2,274.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $510.19 / $2,880.20 / $14,194.81	Facility		$510.19	$2,880.20	$14,194.81
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $848.95 / $848.95 / $848.95	Facility	52	$848.95	$848.95	$848.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $633.86 / $2,794.18 / $4,438.35	Professional		$633.86	$2,794.18	$4,438.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $559.71 / $2,893.32 / $4,925.84	Facility		$559.71	$2,893.32	$4,925.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $510.19 / $2,221.36 / $3,548.14	Professional		$510.19	$2,221.36	$3,548.14
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,725.39 / $2,725.39 / $2,725.39	Facility		$2,725.39	$2,725.39	$2,725.39
United Facility/Professional Facility Modifier Low / Median / High Price $8,220.00 / $9,346.00 / $14,242.22	Facility		$8,220.00	$9,346.00	$14,242.22
United Facility/Professional Professional Modifier Low / Median / High Price $1,397.86 / $2,857.75 / $3,956.91	Professional		$1,397.86	$2,857.75	$3,956.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $467.70 / $550.29 / $2,701.20	Professional		$467.70	$550.29	$2,701.20