Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $2,398.83 / $6,760.83	Facility		$181.97	$2,398.83	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $181.97 / $776.25	Professional		$109.65	$181.97	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $354.81 / $588.84	Professional		$269.15	$354.81	$588.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $234.42 / $426.58	Professional		$120.23	$234.42	$426.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $426.58 / $3,467.37	Facility		$204.17	$426.58	$3,467.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $309.03 / $602.56	Professional		$204.17	$309.03	$602.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $338.84 / $512.86	Professional		$269.15	$338.84	$512.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $208.93 / $407.38	Professional		$112.20	$208.93	$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 $128.82 / $223.87 / $446.68	Professional		$128.82	$223.87	$446.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $257.04 / $416.87	Professional		$218.78	$257.04	$416.87