Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $3,090.30 / $6,760.83	Facility		$323.59	$3,090.30	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $389.05 / $1,318.26	Professional		$194.98	$389.05	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $616.60 / $912.01	Professional		$467.74	$616.60	$912.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $371.54 / $707.95	Professional		$194.98	$371.54	$707.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $707.95 / $3,467.37	Facility		$338.84	$707.95	$3,467.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $524.81 / $954.99	Professional		$309.03	$524.81	$954.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $549.54 / $794.33	Professional		$467.74	$549.54	$794.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $354.81 / $645.65	Professional		$190.55	$354.81	$645.65
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 $229.09 / $354.81 / $707.95	Professional		$229.09	$354.81	$707.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $446.68 / $645.65	Professional		$380.19	$446.68	$645.65