Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $3,235.94 / $6,760.83	Facility		$257.04	$3,235.94	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $208.93 / $426.58	Professional		$147.91	$208.93	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $426.58 / $467.74	Professional		$371.54	$426.58	$467.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $263.03 / $1,584.89	Professional		$162.18	$263.03	$1,584.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $467.74 / $1,905.46	Facility		$229.09	$467.74	$1,905.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $398.11 / $870.96	Professional		$199.53	$398.11	$870.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $457.09 / $1,096.48	Professional		$380.19	$457.09	$1,096.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $331.13 / $446.68	Professional		$186.21	$331.13	$446.68
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 $190.55 / $295.12 / $512.86	Professional		$190.55	$295.12	$512.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $309.03 / $363.08	Professional		$245.47	$309.03	$363.08