Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $407.38 / $6,760.83	Facility		$89.13	$407.38	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $169.82 / $588.84	Professional		$57.54	$169.82	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $173.78 / $407.38	Professional		$138.04	$173.78	$407.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $151.36 / $309.03	Professional		$58.88	$151.36	$309.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $269.15 / $1,380.38	Facility		$91.20	$269.15	$1,380.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $190.55 / $426.58	Professional		$120.23	$190.55	$426.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $208.93 / $371.54	Professional		$128.82	$208.93	$371.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $117.49 / $269.15	Professional		$50.12	$117.49	$269.15
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 $69.18 / $141.25 / $295.12	Professional		$69.18	$141.25	$295.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $125.89 / $281.84	Professional		$107.15	$125.89	$281.84