Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $614.11 / $1,518.53 / $5,549.00	Facility		$614.11	$1,518.53	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.46 / $287.81 / $1,021.75	Professional		$177.46	$287.81	$1,021.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.59 / $475.05 / $720.59	Professional		$205.59	$475.05	$720.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $176.90 / $373.16 / $642.12	Professional		$176.90	$373.16	$642.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $238.49 / $475.05 / $1,429.39	Facility		$238.49	$475.05	$1,429.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $271.92 / $562.41 / $2,102.64	Professional		$271.92	$562.41	$2,102.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $312.55 / $439.16 / $720.59	Facility		$312.55	$439.16	$720.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $352.45 / $513.40 / $720.59	Professional		$352.45	$513.40	$720.59
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $234.45 / $234.45 / $234.45	Facility		$234.45	$234.45	$234.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $194.42 / $361.37 / $553.07	Professional		$194.42	$361.37	$553.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,321.00 / $3,482.00 / $5,454.00	Facility		$1,321.00	$3,482.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $265.00 / $418.25 / $776.91	Professional		$265.00	$418.25	$776.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $444.70 / $650.79	Professional		$378.00	$444.70	$650.79