Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $890.73 / $3,886.99 / $6,446.00	Facility		$890.73	$3,886.99	$6,446.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,601.00 / $3,814.34 / $3,814.34	Facility	50	$2,601.00	$3,814.34	$3,814.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $301.27 / $468.81 / $1,190.46	Professional		$301.27	$468.81	$1,190.46
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,295.09 / $1,452.96 / $2,348.40	Professional	50	$1,295.09	$1,452.96	$2,348.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.99 / $809.29 / $1,090.74	Professional		$630.99	$809.29	$1,090.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $264.48 / $537.54 / $960.61	Professional		$264.48	$537.54	$960.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $534.29 / $813.10 / $4,872.50	Facility		$534.29	$813.10	$4,872.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $476.82 / $836.24 / $2,859.28	Professional		$476.82	$836.24	$2,859.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $340.51 / $661.26 / $1,007.91	Facility		$340.51	$661.26	$1,007.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $576.00 / $754.30 / $1,038.85	Professional		$576.00	$754.30	$1,038.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $720.10 / $1,002.90	Professional		$5.00	$720.10	$1,002.90
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,732.00 / $8,342.00	Facility		$4,217.00	$5,732.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $409.49 / $733.52 / $1,159.15	Professional		$409.49	$733.52	$1,159.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $546.60 / $643.10 / $852.20	Professional		$546.60	$643.10	$852.20