Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,182.55 / $3,666.78 / $6,624.44	Facility		$1,182.55	$3,666.78	$6,624.44
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,500.17 / $6,085.50 / $7,097.36	Facility	50	$5,500.17	$6,085.50	$7,097.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $391.89 / $529.65 / $1,185.30	Professional		$391.89	$529.65	$1,185.30
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $206.57 / $1,203.00 / $1,397.79	Professional	50	$206.57	$1,203.00	$1,397.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $767.00 / $1,028.07 / $1,287.46	Professional		$767.00	$1,028.07	$1,287.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $417.67 / $650.87 / $1,150.28	Professional		$417.67	$650.87	$1,150.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $622.40 / $1,032.48 / $4,752.22	Facility		$622.40	$1,032.48	$4,752.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $452.56 / $948.48 / $3,829.00	Professional		$452.56	$948.48	$3,829.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $889.05 / $1,083.19 / $1,750.65	Facility		$889.05	$1,083.19	$1,750.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $705.00 / $981.79 / $1,267.91	Professional		$705.00	$981.79	$1,267.91
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $932.96 / $932.96 / $932.96	Facility		$932.96	$932.96	$932.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $433.91 / $782.29 / $1,878.44	Professional		$433.91	$782.29	$1,878.44
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 $430.94 / $656.67 / $1,336.04	Professional		$430.94	$656.67	$1,336.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $695.60 / $880.50 / $1,035.90	Professional		$695.60	$880.50	$1,035.90