Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $2,238.72 / $5,370.32	Facility		$223.87	$2,238.72	$5,370.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $239.88 / $741.31	Professional		$112.20	$239.88	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $436.52 / $588.84	Professional		$331.13	$436.52	$588.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $239.88 / $501.19	Professional		$147.91	$239.88	$501.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $436.52 / $3,467.37	Facility		$223.87	$436.52	$3,467.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $363.08 / $602.56	Professional		$208.93	$363.08	$602.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $389.05 / $501.19	Professional		$331.13	$389.05	$501.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $251.19 / $407.38	Professional		$138.04	$251.19	$407.38
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 $162.18 / $229.09 / $457.09	Professional		$162.18	$229.09	$457.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $316.23 / $416.87	Professional		$269.15	$316.23	$416.87