Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $2,290.87 / $6,760.83	Facility		$199.53	$2,290.87	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $199.53 / $537.03	Professional		$87.10	$199.53	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $251.19 / $398.11	Professional		$186.21	$251.19	$398.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $154.88 / $316.23	Professional		$85.11	$154.88	$316.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $288.40 / $1,380.38	Facility		$125.89	$288.40	$1,380.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $208.93 / $398.11	Professional		$125.89	$208.93	$398.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $229.09 / $346.74	Professional		$186.21	$229.09	$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 $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 $89.13 / $147.91 / $302.00	Professional		$89.13	$147.91	$302.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $177.83 / $275.42	Professional		$151.36	$177.83	$275.42