Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $602.56 / $5,370.32	Facility		$147.91	$602.56	$5,370.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $204.17 / $630.96	Professional		$100.00	$204.17	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $295.12 / $501.19	Professional		$218.78	$295.12	$501.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $199.53 / $323.59	Professional		$97.72	$199.53	$323.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $363.08 / $1,380.38	Facility		$165.96	$363.08	$1,380.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $281.84 / $575.44	Professional		$177.83	$281.84	$575.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $363.08 / $426.58	Professional		$218.78	$363.08	$426.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $169.82 / $338.84	Professional		$85.11	$169.82	$338.84
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 $112.20 / $199.53 / $363.08	Professional		$112.20	$199.53	$363.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $208.93 / $346.74	Professional		$177.83	$208.93	$346.74