Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $633.87 / $2,177.92 / $6,066.00	Facility		$633.87	$2,177.92	$6,066.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.09 / $442.97 / $1,007.52	Professional		$201.09	$442.97	$1,007.52
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 $276.83 / $550.05 / $1,244.22	Professional		$276.83	$550.05	$1,244.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $188.06 / $586.20 / $1,137.33	Professional		$188.06	$586.20	$1,137.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $334.15 / $746.04 / $1,282.44	Facility		$334.15	$746.04	$1,282.44
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $721.81 / $721.81 / $721.81	Facility	52	$721.81	$721.81	$721.81
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $180.45 / $180.45 / $180.45	Facility	53	$180.45	$180.45	$180.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $471.61 / $921.98 / $3,278.48	Professional		$471.61	$921.98	$3,278.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $450.69 / $951.23 / $1,193.67	Facility		$450.69	$951.23	$1,193.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $433.78 / $708.00 / $1,214.88	Professional		$433.78	$708.00	$1,214.88
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,212.53 / $2,212.53 / $2,212.53	Facility		$2,212.53	$2,212.53	$2,212.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $193.08 / $451.23 / $1,300.43	Professional		$193.08	$451.23	$1,300.43
United Facility/Professional Facility Modifier Low / Median / High Price $796.00 / $3,044.00 / $5,934.99	Facility		$796.00	$3,044.00	$5,934.99
United Facility/Professional Professional Modifier Low / Median / High Price $438.80 / $717.63 / $1,298.57	Professional		$438.80	$717.63	$1,298.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $382.50 / $468.00 / $986.80	Professional		$382.50	$468.00	$986.80