Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $416.87 / $5,370.32	Facility		$138.04	$416.87	$5,370.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $138.04 / $346.74	Professional		$70.79	$138.04	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $223.87 / $275.42	Professional		$169.82	$223.87	$275.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $117.49 / $208.93	Professional		$69.18	$117.49	$208.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $204.17 / $1,621.81	Facility		$97.72	$204.17	$1,621.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $169.82 / $275.42	Professional		$91.20	$169.82	$275.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $204.17 / $245.47	Professional		$162.18	$204.17	$245.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $125.89 / $190.55	Professional		$69.18	$125.89	$190.55
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,202.26 / $2,344.23	Facility		$436.52	$1,202.26	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $107.15 / $208.93	Professional		$77.62	$107.15	$208.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $162.18 / $194.98	Professional		$131.83	$162.18	$194.98