Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,813.48 / $3,876.24 / $6,339.60	Facility		$1,813.48	$3,876.24	$6,339.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.88 / $303.54 / $850.40	Professional		$164.88	$303.54	$850.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $285.98 / $461.60 / $871.62	Professional		$285.98	$461.60	$871.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $139.81 / $419.99 / $782.29	Professional		$139.81	$419.99	$782.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $337.57 / $625.38 / $5,260.89	Facility		$337.57	$625.38	$5,260.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $328.78 / $625.38 / $2,544.21	Professional		$328.78	$625.38	$2,544.21
Midlands Facility/Professional Facility Modifier Low / Median / High Price $328.78 / $625.38 / $1,813.25	Facility		$328.78	$625.38	$1,813.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $285.98 / $459.95 / $850.51	Professional		$285.98	$459.95	$850.51
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,977.66 / $1,977.66 / $1,977.66	Facility		$1,977.66	$1,977.66	$1,977.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $475.80 / $857.10	Professional		$3.00	$475.80	$857.10
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $5,023.00 / $7,305.00	Facility		$3,044.00	$5,023.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $315.36 / $564.91 / $892.70	Professional		$315.36	$564.91	$892.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $290.10 / $341.30 / $682.50	Professional		$290.10	$341.30	$682.50