Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $3,388.44 / $6,309.57	Facility		$467.74	$3,388.44	$6,309.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $371.54 / $1,096.48	Professional		$158.49	$371.54	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $426.58 / $891.25	Professional		$346.74	$426.58	$891.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $457.09 / $912.01	Professional		$151.36	$457.09	$912.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $794.33 / $5,623.41	Facility		$331.13	$794.33	$5,623.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $478.63 / $1,412.54	Professional		$302.00	$478.63	$1,412.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $616.60 / $851.14	Professional		$288.40	$616.60	$851.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $398.11 / $831.76	Professional		$288.40	$398.11	$831.76
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $524.81 / $851.14	Professional		$3.02	$524.81	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $5,011.87 / $6,918.31	Facility		$2,754.23	$5,011.87	$6,918.31
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $346.74 / $724.44	Professional		$173.78	$346.74	$724.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $338.84 / $676.08	Professional		$288.40	$338.84	$676.08