Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $4,964.00 / $7,975.90	Facility		$3,468.00	$4,964.00	$7,975.90
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,983.90 / $6,983.90 / $6,983.90	Facility	50	$6,983.90	$6,983.90	$6,983.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.49 / $248.28 / $471.73	Professional		$157.49	$248.28	$471.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $334.06 / $376.36 / $436.30	Professional		$334.06	$376.36	$436.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $137.58 / $238.52 / $417.83	Professional		$137.58	$238.52	$417.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $248.28 / $416.90 / $7,892.27	Facility		$248.28	$416.90	$7,892.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $178.46 / $337.40 / $1,134.88	Professional		$178.46	$337.40	$1,134.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $257.00 / $440.68 / $2,571.84	Facility		$257.00	$440.68	$2,571.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $236.00 / $334.06 / $440.68	Professional		$236.00	$334.06	$440.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $278.70 / $394.60	Professional		$4.00	$278.70	$394.60
United Facility/Professional Facility Modifier Low / Median / High Price $3,396.00 / $5,934.99 / $8,328.70	Facility		$3,396.00	$5,934.99	$8,328.70
United Facility/Professional Professional Modifier Low / Median / High Price $160.33 / $301.04 / $474.53	Professional		$160.33	$301.04	$474.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $289.39 / $289.39 / $340.40	Professional		$289.39	$289.39	$340.40