Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $364.76 / $2,906.00 / $6,298.62	Facility		$364.76	$2,906.00	$6,298.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.66 / $324.73 / $578.89	Professional		$143.66	$324.73	$578.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $296.83 / $510.40 / $823.90	Professional		$296.83	$510.40	$823.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $122.67 / $393.29 / $795.00	Professional		$122.67	$393.29	$795.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $305.80 / $685.58 / $5,582.51	Facility		$305.80	$685.58	$5,582.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $327.33 / $670.90 / $3,439.23	Professional		$327.33	$670.90	$3,439.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $311.89 / $646.38 / $1,813.25	Facility		$311.89	$646.38	$1,813.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $299.79 / $510.40 / $828.75	Professional		$299.79	$510.40	$828.75
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,193.67 / $1,193.67 / $1,193.67	Facility		$1,193.67	$1,193.67	$1,193.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $485.10 / $826.90	Professional		$3.00	$485.10	$826.90
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,732.00 / $8,342.00	Facility		$4,217.00	$5,732.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $328.80 / $571.09 / $902.47	Professional		$328.80	$571.09	$902.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $255.40 / $300.50 / $642.50	Professional		$255.40	$300.50	$642.50