Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,393.00 / $5,549.00 / $10,506.16	Facility		$4,393.00	$5,549.00	$10,506.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.86 / $325.72 / $778.42	Professional		$193.86	$325.72	$778.42
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $474.95 / $474.95 / $1,278.00	Professional	50	$474.95	$474.95	$1,278.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.70 / $493.40 / $651.52	Professional		$279.70	$493.40	$651.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $114.91 / $365.17 / $1,744.66	Professional		$114.91	$365.17	$1,744.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $287.98 / $561.64 / $4,510.68	Facility		$287.98	$561.64	$4,510.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $280.29 / $564.20 / $6,427.75	Professional		$280.29	$564.20	$6,427.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $230.70 / $325.08 / $618.51	Facility		$230.70	$325.08	$618.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $256.32 / $396.72 / $712.25	Professional		$256.32	$396.72	$712.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $405.60 / $1,035.70	Professional		$5.00	$405.60	$1,035.70
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $5,023.00 / $7,305.00	Facility		$3,044.00	$5,023.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $240.08 / $463.40 / $912.24	Professional		$240.08	$463.40	$912.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $236.40 / $278.10 / $502.90	Professional		$236.40	$278.10	$502.90