Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $2,884.03 / $5,888.44	Facility		$371.54	$2,884.03	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $501.19 / $1,258.93	Professional		$245.47	$501.19	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $707.95 / $870.96	Professional		$575.44	$707.95	$870.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $446.68 / $1,096.48	Professional		$251.19	$446.68	$1,096.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $724.44 / $8,128.31	Facility		$436.52	$724.44	$8,128.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $588.84 / $1,905.46	Professional		$323.59	$588.84	$1,905.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $630.96 / $812.83	Professional		$575.44	$630.96	$812.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $676.08 / $812.83	Professional		$478.63	$676.08	$812.83
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility		$3,090.30	$3,090.30	$3,090.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $524.81 / $794.33	Professional		$3.02	$524.81	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $6,309.57 / $8,912.51	Facility		$4,265.80	$6,309.57	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $436.52 / $776.25	Professional		$275.42	$436.52	$776.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $575.44 / $676.08	Professional		$489.78	$575.44	$676.08