Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $522.95 / $2,834.13 / $6,066.00	Facility		$522.95	$2,834.13	$6,066.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,866.25 / $4,029.36 / $4,750.50	Facility	50	$2,866.25	$4,029.36	$4,750.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.71 / $418.39 / $951.42	Professional		$208.71	$418.39	$951.42
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $276.08 / $749.28 / $2,441.34	Professional	50	$276.08	$749.28	$2,441.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $419.82 / $784.79 / $1,268.96	Professional		$419.82	$784.79	$1,268.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $177.23 / $516.55 / $1,255.86	Professional		$177.23	$516.55	$1,255.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $395.38 / $791.06 / $4,752.22	Facility		$395.38	$791.06	$4,752.22
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $2,730.30 / $2,730.30 / $2,730.30	Facility	50	$2,730.30	$2,730.30	$2,730.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $427.18 / $815.98 / $1,659.61	Professional		$427.18	$815.98	$1,659.61
Midlands Facility/Professional Facility Modifier Low / Median / High Price $459.78 / $946.13 / $1,750.65	Facility		$459.78	$946.13	$1,750.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $419.94 / $815.98 / $1,114.52	Professional		$419.94	$815.98	$1,114.52
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $910.19 / $910.19 / $910.19	Facility		$910.19	$910.19	$910.19
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 $412.83 / $629.07 / $1,279.89	Professional		$412.83	$629.07	$1,279.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $370.30 / $659.10 / $981.50	Professional		$370.30	$659.10	$981.50