Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $3,981.07 / $7,585.78	Facility		$549.54	$3,981.07	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $549.54 / $1,621.81	Professional		$316.23	$549.54	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $831.76 / $1,047.13	Professional		$630.96	$831.76	$1,047.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $489.78 / $1,288.25	Professional		$309.03	$489.78	$1,288.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $891.25 / $5,370.32	Facility		$549.54	$891.25	$5,370.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $676.08 / $2,630.27	Professional		$346.74	$676.08	$2,630.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $851.14 / $954.99	Professional		$691.83	$851.14	$954.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $954.99	Professional		$660.69	$660.69	$954.99
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $588.84 / $776.25	Professional		$338.84	$588.84	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $5,248.07 / $7,413.10	Facility		$2,951.21	$5,248.07	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $489.78 / $933.25	Professional		$331.13	$489.78	$933.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $691.83 / $812.83	Professional		$549.54	$691.83	$812.83