Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $277.20 / $436.80 / $965.97	Facility		$277.20	$436.80	$965.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $416.78 / $572.36	Professional		$416.78	$416.78	$572.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $500.14 / $757.05 / $946.32	Professional		$500.14	$757.05	$946.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $354.26 / $562.65 / $754.37	Professional		$354.26	$562.65	$754.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $416.78 / $537.84 / $958.59	Facility		$416.78	$537.84	$958.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $226.52 / $254.94 / $1,565.95	Professional		$226.52	$254.94	$1,565.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $500.14 / $632.83 / $913.41	Facility		$500.14	$632.83	$913.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $500.14 / $762.19 / $1,087.80	Professional		$500.14	$762.19	$1,087.80
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,351.68 / $4,200.10 / $7,254.71	Facility		$1,351.68	$4,200.10	$7,254.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $416.78 / $743.95	Professional		$416.78	$416.78	$743.95
United Facility/Professional Professional Modifier Low / Median / High Price $226.84 / $226.84 / $755.67	Professional		$226.84	$226.84	$755.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $416.78 / $416.78	Professional		$416.78	$416.78	$416.78