Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $2,951.21 / $8,128.31	Facility		$501.19	$2,951.21	$8,128.31
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,918.31 / $6,918.31 / $6,918.31	Facility	50	$6,918.31	$6,918.31	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $645.65 / $2,187.76	Professional		$398.11	$645.65	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,174.90 / $1,513.56	Professional		$954.99	$1,174.90	$1,513.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $812.83 / $1,412.54	Professional		$389.05	$812.83	$1,412.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,348.96 / $9,549.93	Facility		$660.69	$1,348.96	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,023.29 / $3,311.31	Professional		$588.84	$1,023.29	$3,311.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,122.02 / $1,412.54	Professional		$912.01	$1,122.02	$1,412.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,122.02 / $1,412.54	Professional		$812.83	$1,122.02	$1,412.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $724.44 / $1,230.27	Professional		$407.38	$724.44	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $6,606.93 / $10,232.93	Facility		$4,365.16	$6,606.93	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $741.31 / $1,318.26	Professional		$478.63	$741.31	$1,318.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $933.25 / $1,174.90	Professional		$794.33	$933.25	$1,174.90