Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $3,019.95 / $6,025.60	Facility		$263.03	$3,019.95	$6,025.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $190.55 / $575.44	Professional		$91.20	$190.55	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $398.11 / $512.86	Professional		$295.12	$398.11	$512.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $208.93 / $446.68	Professional		$131.83	$208.93	$446.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $380.19 / $3,467.37	Facility		$199.53	$380.19	$3,467.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $323.59 / $537.03	Professional		$186.21	$323.59	$537.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $346.74 / $446.68	Professional		$295.12	$346.74	$446.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $218.78 / $354.81	Professional		$120.23	$218.78	$354.81
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 $141.25 / $204.17 / $407.38	Professional		$141.25	$204.17	$407.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $281.84 / $363.08	Professional		$239.88	$281.84	$363.08