Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $2,238.72 / $6,456.54	Facility		$302.00	$2,238.72	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $229.09 / $691.83	Professional		$138.04	$229.09	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $436.52 / $676.08	Professional		$331.13	$436.52	$676.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $269.15 / $512.86	Professional		$147.91	$269.15	$512.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $501.19 / $3,467.37	Facility		$251.19	$501.19	$3,467.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $371.54 / $707.95	Professional		$234.42	$371.54	$707.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $389.05 / $602.56	Professional		$331.13	$389.05	$602.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $245.47 / $467.74	Professional		$131.83	$245.47	$467.74
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 $162.18 / $263.03 / $524.81	Professional		$162.18	$263.03	$524.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $316.23 / $478.63	Professional		$269.15	$316.23	$478.63