Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,833.00 / $4,235.59 / $6,446.00	Facility		$2,833.00	$4,235.59	$6,446.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.43 / $369.17 / $1,197.00	Professional		$247.43	$369.17	$1,197.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $547.78 / $663.23 / $856.04	Professional		$547.78	$663.23	$856.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $234.60 / $420.11 / $642.76	Professional		$234.60	$420.11	$642.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $432.20 / $672.27 / $7,155.00	Facility		$432.20	$672.27	$7,155.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $347.38 / $659.28 / $2,261.67	Professional		$347.38	$659.28	$2,261.67
Midlands Facility/Professional Facility Modifier Low / Median / High Price $552.73 / $749.93 / $3,093.19	Facility		$552.73	$749.93	$3,093.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $459.00 / $624.53 / $805.97	Professional		$459.00	$624.53	$805.97
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,063.18 / $3,063.18 / $3,063.18	Facility		$3,063.18	$3,063.18	$3,063.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $481.10 / $797.40	Professional		$3.00	$481.10	$797.40
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 $313.29 / $469.55 / $886.84	Professional		$313.29	$469.55	$886.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $487.30 / $573.29 / $674.90	Professional		$487.30	$573.29	$674.90