Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $935.80 / $5,463.36 / $6,610.40	Facility		$935.80	$5,463.36	$6,610.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.58 / $492.53 / $1,239.79	Professional		$270.58	$492.53	$1,239.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,089.00 / $1,089.00 / $1,089.00	Facility		$1,089.00	$1,089.00	$1,089.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $314.70 / $666.91 / $833.64	Professional		$314.70	$666.91	$833.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $269.69 / $437.94 / $861.24	Professional		$269.69	$437.94	$861.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $451.21 / $726.57 / $8,571.40	Facility		$451.21	$726.57	$8,571.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $329.09 / $633.90 / $2,630.26	Professional		$329.09	$633.90	$2,630.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $786.65 / $5,383.60	Facility		$490.00	$786.65	$5,383.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $442.18 / $647.01 / $868.18	Professional		$442.18	$647.01	$868.18
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $6,181.95 / $6,181.95 / $6,181.95	Facility		$6,181.95	$6,181.95	$6,181.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $533.50 / $743.30	Professional		$5.00	$533.50	$743.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,770.00 / $5,327.00 / $8,342.00	Facility		$1,770.00	$5,327.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $302.06 / $498.71 / $893.91	Professional		$302.06	$498.71	$893.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $450.70 / $570.50 / $671.20	Professional		$450.70	$570.50	$671.20