Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $5,011.87 / $7,943.28	Facility		$77.62	$5,011.87	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $194.98 / $562.34	Professional		$53.70	$194.98	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $169.82 / $354.81	Professional		$117.49	$169.82	$354.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $134.90 / $245.47	Professional		$51.29	$134.90	$245.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $239.88 / $1,380.38	Facility		$77.62	$239.88	$1,380.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $165.96 / $371.54	Professional		$102.33	$165.96	$371.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $177.83 / $302.00	Professional		$97.72	$177.83	$302.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $102.33 / $239.88	Professional		$43.65	$102.33	$239.88
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 $58.88 / $120.23 / $263.03	Professional		$58.88	$120.23	$263.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $107.15 / $251.19	Professional		$91.20	$107.15	$251.19