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 $123.03 / $239.88 / $758.58	Professional		$123.03	$239.88	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $478.63 / $724.44	Professional		$354.81	$478.63	$724.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $288.40 / $588.84	Professional		$151.36	$288.40	$588.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $537.03 / $1,621.81	Facility		$257.04	$537.03	$1,621.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $398.11 / $758.58	Professional		$245.47	$398.11	$758.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $426.58 / $645.65	Professional		$354.81	$426.58	$645.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $263.03 / $501.19	Professional		$141.25	$263.03	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,318.26 / $2,344.23	Facility		$758.58	$1,318.26	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $281.84 / $562.34	Professional		$177.83	$281.84	$562.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $338.84 / $512.86	Professional		$288.40	$338.84	$512.86