Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $2,238.72 / $6,760.83	Facility		$158.49	$2,238.72	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $234.42 / $537.03	Professional		$83.18	$234.42	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $316.23 / $467.74	Professional		$234.42	$316.23	$467.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $186.21 / $346.74	Professional		$104.71	$186.21	$346.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $338.84 / $1,621.81	Facility		$162.18	$338.84	$1,621.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $263.03 / $467.74	Professional		$162.18	$263.03	$467.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $288.40 / $398.11	Professional		$234.42	$288.40	$398.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $177.83 / $316.23	Professional		$95.50	$177.83	$316.23
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 / $173.78 / $346.74	Professional		$112.20	$173.78	$346.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $223.87 / $323.59	Professional		$190.55	$223.87	$323.59