Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $3,090.30 / $6,456.54	Facility		$389.05	$3,090.30	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $263.03 / $794.33	Professional		$158.49	$263.03	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $512.86 / $758.58	Professional		$407.38	$512.86	$758.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $316.23 / $588.84	Professional		$165.96	$316.23	$588.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $575.44 / $7,079.46	Facility		$269.15	$575.44	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $436.52 / $776.25	Professional		$229.09	$436.52	$776.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $478.63 / $707.95	Professional		$398.11	$478.63	$707.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $338.84 / $602.56	Professional		$186.21	$338.84	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $6,309.57 / $8,912.51	Facility		$3,801.89	$6,309.57	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $288.40 / $575.44	Professional		$194.98	$288.40	$575.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $380.19 / $549.54	Professional		$323.59	$380.19	$549.54