Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $1,202.26 / $5,370.32	Facility		$165.96	$1,202.26	$5,370.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $173.78 / $588.84	Professional		$75.86	$173.78	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $295.12 / $363.08	Professional		$186.21	$295.12	$363.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $154.88 / $323.59	Professional		$81.28	$154.88	$323.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $218.78 / $1,621.81	Facility		$123.03	$218.78	$1,621.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $218.78 / $398.11	Professional		$128.82	$218.78	$398.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $218.78 / $346.74	Professional		$177.83	$218.78	$346.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $138.04 / $269.15	Professional		$74.13	$138.04	$269.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $3,548.13	Facility		$1,148.15	$1,621.81	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $147.91 / $302.00	Professional		$95.50	$147.91	$302.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $169.82 / $263.03	Professional		$144.54	$169.82	$263.03