Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,288.25 / $1,412.54	Facility		$812.83	$1,288.25	$1,412.54
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $7,762.47 / $18,197.01	Facility		$1,348.96	$7,762.47	$18,197.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,258.93 / $2,089.30	Facility		$1,000.00	$1,258.93	$2,089.30
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,122.02 / $1,380.38	Facility		$724.44	$1,122.02	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $8,511.38 / $18,197.01	Facility		$1,096.48	$8,511.38	$18,197.01
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $18,197.01 / $40,738.03	Facility		$1,047.13	$18,197.01	$40,738.03