Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $2,511.89 / $6,760.83	Facility		$186.21	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $204.17 / $741.31	Professional		$114.82	$204.17	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $389.05 / $489.78	Professional		$281.84	$389.05	$489.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $208.93 / $436.52	Professional		$123.03	$208.93	$436.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $331.13 / $1,621.81	Facility		$190.55	$331.13	$1,621.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $309.03 / $524.81	Professional		$181.97	$309.03	$524.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $331.13 / $446.68	Professional		$269.15	$331.13	$446.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $194.98 / $354.81	Professional		$109.65	$194.98	$354.81
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 $141.25 / $208.93 / $398.11	Professional		$141.25	$208.93	$398.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $263.03 / $354.81	Professional		$218.78	$263.03	$354.81