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 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.21 / $237.89 / $547.00	Professional		$145.21	$237.89	$547.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,587.00 / $1,587.00 / $1,587.00	Professional	50	$1,587.00	$1,587.00	$1,587.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $300.58 / $467.98 / $623.28	Professional		$300.58	$467.98	$623.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $123.17 / $295.50 / $489.21	Professional		$123.17	$295.50	$489.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $273.50 / $403.35 / $1,387.80	Facility		$273.50	$403.35	$1,387.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $243.00 / $467.98 / $1,608.96	Professional		$243.00	$467.98	$1,608.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $254.20 / $355.43 / $564.44	Facility		$254.20	$355.43	$564.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $271.55 / $403.35 / $587.28	Professional		$271.55	$403.35	$587.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $431.70 / $586.00	Professional		$5.00	$431.70	$586.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,607.00 / $2,126.00	Facility		$1,204.00	$1,607.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $237.91 / $341.21 / $645.40	Professional		$237.91	$341.21	$645.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $260.39 / $306.30 / $476.90	Professional		$260.39	$306.30	$476.90