Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,147.00 / $5,879.45 / $11,025.52	Facility		$1,147.00	$5,879.45	$11,025.52
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,290.96 / $6,751.12 / $10,832.11	Facility	50	$6,290.96	$6,751.12	$10,832.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $429.44 / $616.98 / $1,987.04	Professional		$429.44	$616.98	$1,987.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $896.65 / $1,062.11 / $1,141.38	Professional		$896.65	$1,062.11	$1,141.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $382.45 / $565.17 / $1,332.54	Professional		$382.45	$565.17	$1,332.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $517.29 / $1,080.63 / $12,371.41	Facility		$517.29	$1,080.63	$12,371.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $516.24 / $1,008.87 / $1,727.06	Professional		$516.24	$1,008.87	$1,727.06
Midlands Facility/Professional Facility Modifier Low / Median / High Price $761.36 / $1,255.58 / $4,818.76	Facility		$761.36	$1,255.58	$4,818.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $692.56 / $977.48 / $1,255.58	Professional		$692.56	$977.48	$1,255.58
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $5,182.77 / $24,404.45 / $42,153.15	Facility		$5,182.77	$24,404.45	$42,153.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $526.60 / $1,012.90	Professional		$5.00	$526.60	$1,012.90
United Facility/Professional Facility Modifier Low / Median / High Price $7,221.00 / $8,523.00 / $11,869.99	Facility		$7,221.00	$8,523.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $473.20 / $909.15 / $1,312.90	Professional		$473.20	$909.15	$1,312.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $790.60 / $790.60 / $930.20	Professional		$790.60	$790.60	$930.20