Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,778.89 / $9,811.26	Facility		$2,906.00	$4,778.89	$9,811.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.50 / $325.43 / $944.00	Professional		$202.50	$325.43	$944.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $434.50 / $490.21 / $559.98	Professional		$434.50	$490.21	$559.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $183.03 / $313.07 / $530.29	Professional		$183.03	$313.07	$530.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $327.52 / $546.65 / $6,237.94	Facility		$327.52	$546.65	$6,237.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $247.95 / $460.45 / $1,656.00	Professional		$247.95	$460.45	$1,656.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $337.00 / $602.75 / $1,813.25	Facility		$337.00	$602.75	$1,813.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $308.00 / $434.50 / $602.75	Professional		$308.00	$434.50	$602.75
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,182.94 / $2,182.94 / $2,182.94	Facility		$2,182.94	$2,182.94	$2,182.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $346.66 / $1,985.52	Professional		$190.55	$346.66	$1,985.52
United Facility/Professional Facility Modifier Low / Median / High Price $3,711.00 / $5,988.00 / $8,342.00	Facility		$3,711.00	$5,988.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $218.81 / $440.79 / $619.39	Professional		$218.81	$440.79	$619.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $376.40 / $376.40 / $442.80	Professional		$376.40	$376.40	$442.80