Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,194.72 / $2,977.00 / $7,119.04	Facility		$1,194.72	$2,977.00	$7,119.04
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,257.40 / $2,257.40 / $2,365.79	Facility	50	$2,257.40	$2,257.40	$2,365.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $306.70 / $625.47 / $1,291.85	Professional		$306.70	$625.47	$1,291.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $882.60 / $1,067.70 / $1,213.45	Professional		$882.60	$1,067.70	$1,213.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $398.03 / $639.92 / $1,048.18	Professional		$398.03	$639.92	$1,048.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $578.51 / $1,165.91 / $8,723.79	Facility		$578.51	$1,165.91	$8,723.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $492.96 / $985.41 / $3,301.00	Professional		$492.96	$985.41	$3,301.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $672.00 / $1,280.39 / $2,865.45	Facility		$672.00	$1,280.39	$2,865.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $650.03 / $977.42 / $1,280.39	Professional		$650.03	$977.42	$1,280.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $446.25 / $821.80 / $3,176.95	Professional		$446.25	$821.80	$3,176.95
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 $472.42 / $846.25 / $1,337.28	Professional		$472.42	$846.25	$1,337.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $846.70 / $846.70 / $996.10	Professional		$846.70	$846.70	$996.10