Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $562.34 / $5,888.44	Facility		$57.54	$562.34	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $112.20 / $323.59	Professional		$36.31	$112.20	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $239.88 / $295.12	Professional		$87.10	$239.88	$295.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $117.49 / $269.15	Professional		$38.90	$117.49	$269.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $213.80 / $1,621.81	Facility		$57.54	$213.80	$1,621.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $162.18 / $316.23	Professional		$91.20	$162.18	$316.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $173.78 / $269.15	Professional		$81.28	$173.78	$269.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $74.13 / $194.98	Professional		$31.62	$74.13	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,318.26 / $2,344.23	Facility		$758.58	$1,318.26	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $104.71 / $229.09	Professional		$44.67	$104.71	$229.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $77.62 / $204.17	Professional		$66.07	$77.62	$204.17