Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $508.76 / $2,682.68 / $6,408.55	Facility		$508.76	$2,682.68	$6,408.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.29 / $508.76 / $1,581.72	Professional		$154.29	$508.76	$1,581.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.86 / $413.82 / $473.07	Professional		$338.86	$413.82	$473.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $159.41 / $274.81 / $1,678.15	Professional		$159.41	$274.81	$1,678.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $267.77 / $493.36 / $2,126.00	Facility		$267.77	$493.36	$2,126.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $236.38 / $236.38 / $236.38	Facility	AS	$236.38	$236.38	$236.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $182.25 / $413.82 / $5,110.16	Professional		$182.25	$413.82	$5,110.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $308.27 / $413.82 / $1,256.00	Facility		$308.27	$413.82	$1,256.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $265.89 / $399.65 / $1,256.00	Professional		$265.89	$399.65	$1,256.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,525.54 / $3,525.54 / $3,525.54	Facility		$3,525.54	$3,525.54	$3,525.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $155.88 / $278.26 / $335.31	Professional		$155.88	$278.26	$335.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,775.00 / $3,560.25	Facility		$1,204.00	$1,775.00	$3,560.25
United Facility/Professional Professional Modifier Low / Median / High Price $178.26 / $340.81 / $690.80	Professional		$178.26	$340.81	$690.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $261.10 / $330.50 / $388.80	Professional		$261.10	$330.50	$388.80