Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $2,238.72 / $6,456.54	Facility		$125.89	$2,238.72	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $194.98 / $457.09	Professional		$77.62	$194.98	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $251.19 / $380.19	Professional		$186.21	$251.19	$380.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $151.36 / $316.23	Professional		$77.62	$151.36	$316.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $281.84 / $3,467.37	Facility		$134.90	$281.84	$3,467.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $213.80 / $389.05	Professional		$134.90	$213.80	$389.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $251.19 / $323.59	Professional		$186.21	$251.19	$323.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $144.54 / $263.03	Professional		$75.86	$144.54	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,344.23 / $4,897.79	Facility		$1,318.26	$2,344.23	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $141.25 / $288.40	Professional		$89.13	$141.25	$288.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $177.83 / $269.15	Professional		$151.36	$177.83	$269.15