Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,242.36 / $3,089.00 / $7,119.04	Facility		$1,242.36	$3,089.00	$7,119.04
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,970.01 / $6,970.01 / $6,970.01	Facility	50	$6,970.01	$6,970.01	$6,970.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.70 / $653.88 / $2,161.38	Professional		$425.70	$653.88	$2,161.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $920.66 / $1,155.02 / $1,477.37	Professional		$920.66	$1,155.02	$1,477.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $387.16 / $760.16 / $1,282.26	Professional		$387.16	$760.16	$1,282.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $699.93 / $1,174.76 / $8,073.49	Facility		$699.93	$1,174.76	$8,073.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $628.88 / $1,155.02 / $3,896.24	Professional		$628.88	$1,155.02	$3,896.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $920.66 / $1,263.28 / $2,865.45	Facility		$920.66	$1,263.28	$2,865.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $789.00 / $1,034.28 / $1,427.97	Professional		$789.00	$1,034.28	$1,427.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $415.52 / $770.44 / $3,086.18	Professional		$415.52	$770.44	$3,086.18
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,732.00 / $8,342.00	Facility		$4,217.00	$5,732.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $556.08 / $1,019.91 / $1,611.70	Professional		$556.08	$1,019.91	$1,611.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $797.50 / $938.30 / $1,177.09	Professional		$797.50	$938.30	$1,177.09