Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $569.98 / $2,352.00 / $6,066.00	Facility		$569.98	$2,352.00	$6,066.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.62 / $331.09 / $1,067.27	Professional		$186.62	$331.09	$1,067.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $439.58 / $577.51 / $806.37	Professional		$439.58	$577.51	$806.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $179.96 / $384.09 / $642.11	Professional		$179.96	$384.09	$642.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $332.52 / $638.60 / $4,510.68	Facility		$332.52	$638.60	$4,510.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $345.84 / $623.55 / $2,065.84	Professional		$345.84	$623.55	$2,065.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $439.58 / $640.91 / $1,300.32	Facility		$439.58	$640.91	$1,300.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $382.32 / $551.26 / $756.63	Professional		$382.32	$551.26	$756.63
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,780.13 / $1,780.13 / $1,780.13	Facility		$1,780.13	$1,780.13	$1,780.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $562.50 / $753.60	Professional		$5.00	$562.50	$753.60
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $5,023.00 / $7,305.00	Facility		$3,044.00	$5,023.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $298.29 / $531.08 / $844.36	Professional		$298.29	$531.08	$844.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $372.20 / $437.90 / $603.90	Professional		$372.20	$437.90	$603.90