Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $322.60 / $1,792.94 / $6,298.62	Facility		$322.60	$1,792.94	$6,298.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.71 / $322.60 / $901.00	Professional		$158.71	$322.60	$901.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.75 / $480.52 / $615.49	Professional		$232.75	$480.52	$615.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $167.82 / $275.01 / $451.15	Professional		$167.82	$275.01	$451.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $219.45 / $415.07 / $1,314.20	Facility		$219.45	$415.07	$1,314.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $226.02 / $407.24 / $1,378.80	Professional		$226.02	$407.24	$1,378.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $192.17 / $400.69 / $563.12	Facility		$192.17	$400.69	$563.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $284.00 / $451.32 / $571.66	Professional		$284.00	$451.32	$571.66
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $862.34 / $5,768.54 / $8,430.91	Facility		$862.34	$5,768.54	$8,430.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $285.05 / $394.40	Professional		$180.00	$285.05	$394.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,623.00 / $2,126.00	Facility		$1,204.00	$1,623.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $217.87 / $297.08 / $487.02	Professional		$217.87	$297.08	$487.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $301.62 / $381.80 / $449.20	Professional		$301.62	$381.80	$449.20