Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $8,201.89	Facility		$2,906.00	$4,235.59	$8,201.89
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,909.21 / $10,372.60 / $15,688.76	Facility	50	$6,909.21	$10,372.60	$15,688.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.38 / $385.99 / $1,332.83	Professional		$120.38	$385.99	$1,332.83
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $25.92 / $1,958.02 / $3,165.00	Professional	50	$25.92	$1,958.02	$3,165.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $317.94 / $638.86 / $1,074.18	Professional		$317.94	$638.86	$1,074.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $198.78 / $364.44 / $804.06	Professional		$198.78	$364.44	$804.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $481.79 / $922.24 / $6,306.00	Facility		$481.79	$922.24	$6,306.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $439.92 / $785.62 / $1,655.92	Professional		$439.92	$785.62	$1,655.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $513.39 / $908.39 / $1,908.09	Facility		$513.39	$908.39	$1,908.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $481.79 / $745.00 / $1,140.95	Professional		$481.79	$745.00	$1,140.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $203.25 / $385.73 / $2,114.26	Professional		$203.25	$385.73	$2,114.26
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 $403.26 / $586.55 / $1,101.55	Professional		$403.26	$586.55	$1,101.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $417.40 / $491.00 / $814.40	Professional		$417.40	$491.00	$814.40