Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $2,511.89 / $6,760.83	Facility		$194.98	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $194.98 / $398.11	Professional		$114.82	$194.98	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $489.78 / $616.60	Professional		$302.00	$489.78	$616.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $251.19 / $478.63	Professional		$131.83	$251.19	$478.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $457.09 / $1,380.38	Facility		$218.78	$457.09	$1,380.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $346.74 / $630.96	Professional		$204.17	$346.74	$630.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $371.54 / $562.34	Professional		$288.40	$371.54	$562.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $213.80 / $416.87	Professional		$112.20	$213.80	$416.87
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 $151.36 / $234.42 / $467.74	Professional		$151.36	$234.42	$467.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $275.42 / $436.52	Professional		$234.42	$275.42	$436.52