Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $3,981.07 / $8,709.64	Facility		$602.56	$3,981.07	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $870.96 / $2,089.30	Professional		$323.59	$870.96	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $870.96 / $1,000.00	Professional		$794.33	$870.96	$1,000.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $954.99 / $2,570.40	Professional		$346.74	$954.99	$2,570.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $3,715.35 / $12,589.25	Facility		$741.31	$3,715.35	$12,589.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $870.96 / $7,762.47	Professional		$446.68	$870.96	$7,762.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $870.96 / $2,041.74	Professional		$776.25	$870.96	$2,041.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $1,071.52	Professional		$954.99	$954.99	$1,071.52
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $5,370.32	Facility		$5,370.32	$5,370.32	$5,370.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $954.99 / $1,288.25	Professional		$3.98	$954.99	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $8,511.38 / $13,182.57	Facility		$5,495.41	$8,511.38	$13,182.57
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $758.58 / $1,258.93	Professional		$389.05	$758.58	$1,258.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $794.33	Professional		$676.08	$676.08	$794.33