Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $3,235.94 / $6,760.83	Facility		$229.09	$3,235.94	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $165.96 / $371.54	Professional		$128.82	$165.96	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $371.54 / $416.87	Professional		$331.13	$371.54	$416.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $229.09 / $1,412.54	Professional		$144.54	$229.09	$1,412.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $512.86 / $1,905.46	Facility		$229.09	$512.86	$1,905.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $346.74 / $724.44	Professional		$173.78	$346.74	$724.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $407.38 / $933.25	Professional		$331.13	$407.38	$933.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $288.40 / $389.05	Professional		$165.96	$288.40	$389.05
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 $169.82 / $251.19 / $446.68	Professional		$169.82	$251.19	$446.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $275.42 / $323.59	Professional		$213.80	$275.42	$323.59