Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,964.00 / $6,298.62 / $10,255.42	Facility		$4,964.00	$6,298.62	$10,255.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $633.23 / $954.54 / $1,992.80	Professional		$633.23	$954.54	$1,992.80
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $94.98 / $178.43 / $178.43	Professional	55	$94.98	$178.43	$178.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,039.71 / $1,562.87 / $1,953.59	Professional		$1,039.71	$1,562.87	$1,953.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $494.94 / $826.66 / $2,492.88	Professional		$494.94	$826.66	$2,492.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $829.75 / $2,481.46 / $13,238.00	Facility		$829.75	$2,481.46	$13,238.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $790.01 / $1,383.17 / $2,450.31	Professional		$790.01	$1,383.17	$2,450.31
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,477.42 / $5,639.55 / $7,519.40	Facility		$1,477.42	$5,639.55	$7,519.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,113.18 / $1,617.46 / $2,098.89	Professional		$1,113.18	$1,617.46	$2,098.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $609.04 / $1,135.06 / $7,949.48	Professional		$609.04	$1,135.06	$7,949.48
United Facility/Professional Facility Modifier Low / Median / High Price $4,133.00 / $8,523.00 / $11,869.99	Facility		$4,133.00	$8,523.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $732.17 / $1,067.42 / $2,166.76	Professional		$732.17	$1,067.42	$2,166.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,011.04 / $1,400.30 / $1,505.70	Professional		$1,011.04	$1,400.30	$1,505.70