Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $866.57 / $5,463.36 / $13,372.38	Facility		$866.57	$5,463.36	$13,372.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.60 / $1,693.05 / $5,974.48	Professional		$307.60	$1,693.05	$5,974.48
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $796.42 / $796.42 / $796.42	Professional	50	$796.42	$796.42	$796.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $638.08 / $7,665.56 / $9,581.95	Professional		$638.08	$7,665.56	$9,581.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $280.14 / $3,764.80 / $6,038.41	Professional		$280.14	$3,764.80	$6,038.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $698.85 / $8,203.29 / $20,992.43	Facility		$698.85	$8,203.29	$20,992.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $801.52 / $7,690.68 / $14,290.63	Professional		$801.52	$7,690.68	$14,290.63
Midlands Facility/Professional Facility Modifier Low / Median / High Price $698.85 / $8,223.18 / $13,810.63	Facility		$698.85	$8,223.18	$13,810.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $653.55 / $7,058.16 / $10,321.36	Professional		$653.55	$7,058.16	$10,321.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $310.26 / $2,991.55 / $14,635.48	Professional		$310.26	$2,991.55	$14,635.48
United Facility/Professional Facility Modifier Low / Median / High Price $9,542.00 / $12,871.00 / $16,293.00	Facility		$9,542.00	$12,871.00	$16,293.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,401.98 / $6,961.99 / $9,791.77	Professional		$3,401.98	$6,961.99	$9,791.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $599.20 / $704.90 / $7,612.90	Professional		$599.20	$704.90	$7,612.90