Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,472.10 / $2,912.34 / $6,446.00	Facility		$1,472.10	$2,912.34	$6,446.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.45 / $469.83 / $1,748.79	Professional		$225.45	$469.83	$1,748.79
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $2,783.12 / $3,609.00 / $3,789.00	Professional	50	$2,783.12	$3,609.00	$3,789.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $284.26 / $560.16 / $785.00	Professional		$284.26	$560.16	$785.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $175.10 / $306.43 / $1,173.01	Professional		$175.10	$306.43	$1,173.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $376.11 / $838.93 / $3,258.00	Facility		$376.11	$838.93	$3,258.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $535.23 / $803.54 / $1,634.84	Professional		$535.23	$803.54	$1,634.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $239.65 / $562.09 / $1,153.65	Facility		$239.65	$562.09	$1,153.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $525.47 / $745.50 / $1,223.79	Professional		$525.47	$745.50	$1,223.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $198.44 / $328.12 / $435.61	Professional		$198.44	$328.12	$435.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,482.00 / $5,454.00	Facility		$1,775.00	$3,482.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $552.42 / $803.54 / $1,599.33	Professional		$552.42	$803.54	$1,599.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $359.61 / $455.20 / $535.50	Professional		$359.61	$455.20	$535.50