Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $234.42 / $5,370.32	Facility		$85.11	$234.42	$5,370.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $154.88 / $602.56	Professional		$60.26	$154.88	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $269.15 / $338.84	Professional		$125.89	$269.15	$338.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $151.36 / $426.58	Professional		$56.23	$151.36	$426.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $275.42 / $1,380.38	Facility		$87.10	$275.42	$1,380.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $223.87 / $575.44	Professional		$128.82	$223.87	$575.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $257.04 / $316.23	Professional		$125.89	$257.04	$316.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $141.25 / $302.00	Professional		$63.10	$141.25	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,202.26 / $2,344.23	Facility		$436.52	$1,202.26	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $147.91 / $281.84	Professional		$67.61	$147.91	$281.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $120.23 / $245.47	Professional		$102.33	$120.23	$245.47