Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $5,011.87 / $7,943.28	Facility		$144.54	$5,011.87	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $169.82 / $457.09	Professional		$87.10	$169.82	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $275.42 / $537.03	Professional		$218.78	$275.42	$537.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $204.17 / $363.08	Professional		$95.50	$204.17	$363.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $389.05 / $1,380.38	Facility		$177.83	$389.05	$1,380.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $263.03 / $562.34	Professional		$169.82	$263.03	$562.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $309.03 / $489.78	Professional		$208.93	$309.03	$489.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $173.78 / $363.08	Professional		$81.28	$173.78	$363.08
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 $112.20 / $199.53 / $407.38	Professional		$112.20	$199.53	$407.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $199.53 / $380.19	Professional		$169.82	$199.53	$380.19