Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $852.09 / $4,235.59 / $6,446.00	Facility		$852.09	$4,235.59	$6,446.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.92 / $545.91 / $1,619.15	Professional		$256.92	$545.91	$1,619.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $508.73 / $770.53 / $963.16	Professional		$508.73	$770.53	$963.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $212.17 / $466.44 / $1,303.73	Professional		$212.17	$466.44	$1,303.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $531.37 / $856.60 / $5,582.51	Facility		$531.37	$856.60	$5,582.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $508.73 / $828.41 / $3,041.38	Professional		$508.73	$828.41	$3,041.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $531.37 / $899.54 / $1,813.25	Facility		$531.37	$899.54	$1,813.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $472.78 / $728.53 / $1,043.88	Professional		$472.78	$728.53	$1,043.88
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,149.79 / $1,149.79 / $1,149.79	Facility		$1,149.79	$1,149.79	$1,149.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $707.90 / $887.70	Professional		$3.00	$707.90	$887.70
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 $393.67 / $711.98 / $1,114.34	Professional		$393.67	$711.98	$1,114.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $440.70 / $518.40 / $742.40	Professional		$440.70	$518.40	$742.40