Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $2,398.83	Facility		$1,412.54	$1,412.54	$2,398.83
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 $3,311.31 / $14,454.40 / $36,307.81	Facility		$3,311.31	$14,454.40	$36,307.81
Midlands Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $977.24 / $1,698.24	Facility		$478.63	$977.24	$1,698.24
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,000.00 / $1,122.02	Facility		$707.95	$1,000.00	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $14,454.40 / $36,307.81	Facility		$2,754.23	$14,454.40	$36,307.81
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