Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,833.00 / $3,666.78 / $7,119.04	Facility		$2,833.00	$3,666.78	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.91 / $344.69 / $1,154.00	Professional		$159.91	$344.69	$1,154.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $568.87 / $1,936.50 / $1,936.50	Professional	50	$568.87	$1,936.50	$1,936.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.31 / $449.93 / $800.53	Professional		$202.31	$449.93	$800.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $148.51 / $274.39 / $650.74	Professional		$148.51	$274.39	$650.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $339.89 / $595.33 / $4,645.00	Facility		$339.89	$595.33	$4,645.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $315.77 / $526.12 / $1,170.24	Professional		$315.77	$526.12	$1,170.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $316.49 / $415.87 / $688.95	Facility		$316.49	$415.87	$688.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $339.89 / $517.62 / $754.22	Professional		$339.89	$517.62	$754.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $142.40 / $278.22 / $490.43	Professional		$142.40	$278.22	$490.43
United Facility/Professional Facility Modifier Low / Median / High Price $2,679.00 / $4,878.97 / $6,267.00	Facility		$2,679.00	$4,878.97	$6,267.00
United Facility/Professional Professional Modifier Low / Median / High Price $284.33 / $403.22 / $789.45	Professional		$284.33	$403.22	$789.45
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $294.39 / $346.40 / $606.70	Professional		$294.39	$346.40	$606.70