Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $4,466.84 / $7,762.47	Facility		$512.86	$4,466.84	$7,762.47
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,365.16 / $4,365.16 / $4,365.16	Facility	50	$4,365.16	$4,365.16	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $645.65 / $1,659.59	Professional		$354.81	$645.65	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $831.76 / $1,000.00	Professional		$794.33	$831.76	$1,000.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $645.65 / $1,778.28	Professional		$346.74	$645.65	$1,778.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $2,951.21 / $9,332.54	Facility		$602.56	$2,951.21	$9,332.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $724.44 / $5,011.87	Professional		$416.87	$724.44	$5,011.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $851.14 / $1,288.25	Professional		$758.58	$851.14	$1,288.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $933.25 / $933.25	Professional		$691.83	$933.25	$933.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $724.44 / $870.96	Professional		$5.01	$724.44	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $6,456.54 / $9,332.54	Facility		$4,365.16	$6,456.54	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $602.56 / $1,122.02	Professional		$380.19	$602.56	$1,122.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $794.33	Professional		$676.08	$676.08	$794.33