Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $339.58 / $1,830.15 / $5,463.36	Facility		$339.58	$1,830.15	$5,463.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.28 / $285.13 / $943.88	Professional		$98.28	$285.13	$943.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.59 / $307.98 / $802.59	Professional		$139.59	$307.98	$802.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $97.55 / $333.46 / $861.25	Professional		$97.55	$333.46	$861.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $496.78 / $1,735.52	Facility		$194.98	$496.78	$1,735.52
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $381.48 / $381.48 / $381.48	Facility	52	$381.48	$381.48	$381.48
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $95.37 / $95.37 / $95.37	Facility	53	$95.37	$95.37	$95.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $283.77 / $623.72 / $1,659.44	Professional		$283.77	$623.72	$1,659.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $254.34 / $634.80 / $916.95	Facility		$254.34	$634.80	$916.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $229.25 / $508.72 / $802.59	Professional		$229.25	$508.72	$802.59
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $876.04 / $1,666.10 / $3,391.70	Facility		$876.04	$1,666.10	$3,391.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $99.28 / $294.83 / $985.79	Professional		$99.28	$294.83	$985.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,770.00 / $4,663.00 / $7,305.00	Facility		$1,770.00	$4,663.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $308.93 / $463.91 / $923.76	Professional		$308.93	$463.91	$923.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $202.20 / $247.30 / $647.00	Professional		$202.20	$247.30	$647.00