Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $619.77 / $3,353.17 / $5,463.36	Facility		$619.77	$3,353.17	$5,463.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.22 / $397.42 / $1,080.00	Professional		$181.22	$397.42	$1,080.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $953.00 / $953.00 / $953.00	Facility		$953.00	$953.00	$953.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.16 / $522.16 / $1,340.30	Professional		$245.16	$522.16	$1,340.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $183.45 / $474.73 / $969.07	Professional		$183.45	$474.73	$969.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $326.20 / $700.42 / $3,044.00	Facility		$326.20	$700.42	$3,044.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $322.00 / $880.27 / $3,654.56	Professional		$322.00	$880.27	$3,654.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $373.26 / $997.34 / $1,596.58	Facility		$373.26	$997.34	$1,596.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $360.50 / $597.54 / $1,286.30	Professional		$360.50	$597.54	$1,286.30
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,124.33 / $1,124.33 / $1,124.33	Facility		$1,124.33	$1,124.33	$1,124.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $187.50 / $450.92 / $1,715.33	Professional		$187.50	$450.92	$1,715.33
United Facility/Professional Facility Modifier Low / Median / High Price $2,559.00 / $4,663.00 / $7,305.00	Facility		$2,559.00	$4,663.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $302.25 / $687.99 / $1,346.72	Professional		$302.25	$687.99	$1,346.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $372.20 / $455.40 / $1,092.50	Professional		$372.20	$455.40	$1,092.50