Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $602.56 / $7,943.28	Facility		$95.50	$602.56	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $154.88 / $501.19	Professional		$60.26	$154.88	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $239.88 / $407.38	Professional		$144.54	$239.88	$407.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $151.36 / $288.40	Professional		$61.66	$151.36	$288.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $257.04 / $1,380.38	Facility		$114.82	$257.04	$1,380.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $190.55 / $416.87	Professional		$120.23	$190.55	$416.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $204.17 / $363.08	Professional		$138.04	$204.17	$363.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $123.03 / $275.42	Professional		$53.70	$123.03	$275.42
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 $72.44 / $141.25 / $295.12	Professional		$72.44	$141.25	$295.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $131.83 / $281.84	Professional		$112.20	$131.83	$281.84