Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $3,090.30 / $6,760.83	Facility		$407.38	$3,090.30	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $275.42 / $831.76	Professional		$138.04	$275.42	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $537.03 / $794.33	Professional		$398.11	$537.03	$794.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $316.23 / $645.65	Professional		$165.96	$316.23	$645.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $616.60 / $3,467.37	Facility		$295.12	$616.60	$3,467.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $457.09 / $831.76	Professional		$295.12	$457.09	$831.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $524.81 / $707.95	Professional		$398.11	$524.81	$707.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $295.12 / $549.54	Professional		$158.49	$295.12	$549.54
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 $208.93 / $309.03 / $616.60	Professional		$208.93	$309.03	$616.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $380.19 / $562.34	Professional		$323.59	$380.19	$562.34