Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,047.13 / $5,011.87	Facility		$229.09	$1,047.13	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $331.13 / $1,000.00	Professional		$162.18	$331.13	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $446.68 / $776.25	Professional		$354.81	$446.68	$776.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $281.84 / $537.03	Professional		$151.36	$281.84	$537.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $537.03 / $1,380.38	Facility		$245.47	$537.03	$1,380.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $398.11 / $776.25	Professional		$234.42	$398.11	$776.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $407.38 / $645.65	Professional		$346.74	$407.38	$645.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $269.15 / $537.03	Professional		$134.90	$269.15	$537.03
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 $165.96 / $281.84 / $575.44	Professional		$165.96	$281.84	$575.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $316.23 / $549.54	Professional		$269.15	$316.23	$549.54