Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,496.00 / $5,836.68 / $7,530.01	Facility		$3,496.00	$5,836.68	$7,530.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $321.76 / $475.73 / $1,259.75	Professional		$321.76	$475.73	$1,259.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $637.00 / $817.28 / $1,021.59	Professional		$637.00	$817.28	$1,021.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $320.98 / $507.63 / $1,195.85	Professional		$320.98	$507.63	$1,195.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $552.59 / $862.73 / $4,873.45	Facility		$552.59	$862.73	$4,873.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $351.74 / $688.87 / $2,616.88	Professional		$351.74	$688.87	$2,616.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $652.36 / $899.61 / $1,597.11	Facility		$652.36	$899.61	$1,597.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $504.50 / $770.72 / $1,003.16	Professional		$504.50	$770.72	$1,003.16
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $859.47 / $859.47 / $859.47	Facility		$859.47	$859.47	$859.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $338.42 / $621.72 / $1,729.73	Professional		$338.42	$621.72	$1,729.73
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,327.00 / $8,342.00	Facility		$4,217.00	$5,327.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $335.75 / $520.62 / $959.28	Professional		$335.75	$520.62	$959.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $547.00 / $692.40 / $814.60	Professional		$547.00	$692.40	$814.60