Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $2,238.72 / $6,456.54	Facility		$245.47	$2,238.72	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $269.15 / $741.31	Professional		$147.91	$269.15	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $478.63 / $660.69	Professional		$363.08	$478.63	$660.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $275.42 / $512.86	Professional		$151.36	$275.42	$512.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $501.19 / $5,128.61	Facility		$245.47	$501.19	$5,128.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $407.38 / $676.08	Professional		$239.88	$407.38	$676.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $426.58 / $575.44	Professional		$363.08	$426.58	$575.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $281.84 / $478.63	Professional		$158.49	$281.84	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,677.35 / $6,309.57	Facility		$2,570.40	$4,677.35	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $257.04 / $501.19	Professional		$177.83	$257.04	$501.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $354.81 / $467.74	Professional		$295.12	$354.81	$467.74