Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $2,398.83 / $6,760.83	Facility		$131.83	$2,398.83	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $199.53 / $660.69	Professional		$79.43	$199.53	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $257.04 / $446.68	Professional		$204.17	$257.04	$446.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $173.78 / $323.59	Professional		$87.10	$173.78	$323.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $309.03 / $1,380.38	Facility		$131.83	$309.03	$1,380.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $229.09 / $457.09	Professional		$138.04	$229.09	$457.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $245.47 / $389.05	Professional		$194.98	$245.47	$389.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $151.36 / $295.12	Professional		$75.86	$151.36	$295.12
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 $97.72 / $165.96 / $331.13	Professional		$97.72	$165.96	$331.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $186.21 / $309.03	Professional		$158.49	$186.21	$309.03