Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $718.34 / $1,800.98 / $2,259.69	Facility		$718.34	$1,800.98	$2,259.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,800.98 / $1,800.98 / $1,800.98	Professional		$1,800.98	$1,800.98	$1,800.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $782.68 / $782.68 / $978.35	Professional		$782.68	$782.68	$978.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $466.20 / $617.08 / $2,086.86	Professional		$466.20	$617.08	$2,086.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $503.84 / $816.59 / $1,485.61	Facility		$503.84	$816.59	$1,485.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $367.43 / $505.57 / $1,410.68	Professional		$367.43	$505.57	$1,410.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $723.79 / $1,476.27	Facility		$500.00	$723.79	$1,476.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $652.09 / $739.38 / $1,378.74	Professional		$652.09	$739.38	$1,378.74
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $544.32 / $3,665.48 / $6,331.28	Facility		$544.32	$3,665.48	$6,331.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $616.46 / $1,112.93 / $1,255.86	Professional		$616.46	$1,112.93	$1,255.86
United Facility/Professional Professional Modifier Low / Median / High Price $367.43 / $454.67 / $1,609.41	Professional		$367.43	$454.67	$1,609.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $456.99 / $578.47 / $578.47	Professional		$456.99	$578.47	$578.47