Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.21 / $652.89 / $9,237.10	Facility		$144.21	$652.89	$9,237.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.36 / $359.05 / $959.20	Professional		$302.36	$359.05	$959.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $611.63 / $611.63 / $764.53	Professional		$611.63	$611.63	$764.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $773.84 / $955.08	Professional		$150.00	$773.84	$955.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $446.69 / $575.03 / $921.65	Facility		$446.69	$575.03	$921.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $359.05 / $359.05 / $680.14	Professional		$359.05	$359.05	$680.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $442.60 / $489.18 / $991.28	Facility		$442.60	$489.18	$991.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $442.60 / $489.18 / $745.86	Professional		$442.60	$489.18	$745.86
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,493.26 / $11,242.45 / $19,418.77	Facility		$1,493.26	$11,242.45	$19,418.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $865.06 / $919.99 / $976.02	Professional		$865.06	$919.99	$976.02
United Facility/Professional Professional Modifier Low / Median / High Price $359.05 / $359.05 / $394.96	Professional		$359.05	$359.05	$394.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $264.10 / $334.31 / $334.31	Professional		$264.10	$334.31	$334.31