Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $3,019.95 / $6,456.54	Facility		$218.78	$3,019.95	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $245.47 / $549.54	Professional		$97.72	$245.47	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $323.59 / $426.58	Professional		$239.88	$323.59	$426.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $169.82 / $380.19	Professional		$100.00	$169.82	$380.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $309.03 / $3,467.37	Facility		$162.18	$309.03	$3,467.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $263.03 / $446.68	Professional		$151.36	$263.03	$446.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $281.84 / $363.08	Professional		$239.88	$281.84	$363.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $177.83 / $295.12	Professional		$97.72	$177.83	$295.12
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 $112.20 / $162.18 / $316.23	Professional		$112.20	$162.18	$316.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $229.09 / $295.12	Professional		$194.98	$229.09	$295.12