Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,576.15 / $7,119.04	Facility		$2,218.00	$3,576.15	$7,119.04
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,600.69 / $5,600.69 / $5,600.69	Facility	50	$5,600.69	$5,600.69	$5,600.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.29 / $483.80 / $884.64	Professional		$112.29	$483.80	$884.64
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $137.34 / $319.87 / $2,515.19	Professional	50	$137.34	$319.87	$2,515.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.49 / $1,243.80 / $1,688.70	Professional		$220.49	$1,243.80	$1,688.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $741.48 / $1,052.13	Professional		$129.47	$741.48	$1,052.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $213.98 / $1,243.80 / $4,985.21	Facility		$213.98	$1,243.80	$4,985.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $261.82 / $1,243.80 / $2,179.77	Professional		$261.82	$1,243.80	$2,179.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $237.22 / $1,243.80 / $1,813.25	Facility		$237.22	$1,243.80	$1,813.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $213.98 / $868.12 / $1,633.35	Professional		$213.98	$868.12	$1,633.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $128.90 / $1,720.30	Professional		$6.00	$128.90	$1,720.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,522.00 / $5,454.00	Facility		$1,775.00	$3,522.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $607.44 / $1,105.15 / $1,719.48	Professional		$607.44	$1,105.15	$1,719.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $188.70 / $222.00 / $1,290.30	Professional		$188.70	$222.00	$1,290.30