Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,189.91 / $3,259.25 / $6,298.62	Facility		$1,189.91	$3,259.25	$6,298.62
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,459.78 / $4,582.00 / $4,818.43	Facility	50	$2,459.78	$4,582.00	$4,818.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.03 / $425.72 / $926.50	Professional		$213.03	$425.72	$926.50
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $276.74 / $551.29 / $1,781.01	Professional	50	$276.74	$551.29	$1,781.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $419.94 / $824.92 / $1,257.27	Professional		$419.94	$824.92	$1,257.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $177.24 / $512.54 / $1,260.27	Professional		$177.24	$512.54	$1,260.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $394.71 / $804.82 / $4,752.22	Facility		$394.71	$804.82	$4,752.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $437.00 / $824.92 / $1,646.13	Professional		$437.00	$824.92	$1,646.13
Midlands Facility/Professional Facility Modifier Low / Median / High Price $466.28 / $938.14 / $1,750.65	Facility		$466.28	$938.14	$1,750.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $426.34 / $818.75 / $1,119.50	Professional		$426.34	$818.75	$1,119.50
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $933.20 / $933.20 / $933.20	Facility		$933.20	$933.20	$933.20
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,327.00 / $8,342.00	Facility		$4,217.00	$5,327.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $417.13 / $636.24 / $1,293.23	Professional		$417.13	$636.24	$1,293.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $370.30 / $653.49 / $973.20	Professional		$370.30	$653.49	$973.20