Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $2,511.89 / $6,760.83	Facility		$144.54	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $154.88 / $371.54	Professional		$87.10	$154.88	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $281.84 / $446.68	Professional		$223.87	$281.84	$446.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $177.83 / $338.84	Professional		$95.50	$177.83	$338.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $309.03 / $1,380.38	Facility		$162.18	$309.03	$1,380.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $245.47 / $457.09	Professional		$151.36	$245.47	$457.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $257.04 / $407.38	Professional		$213.80	$257.04	$407.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $154.88 / $309.03	Professional		$83.18	$154.88	$309.03
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 $109.65 / $169.82 / $338.84	Professional		$109.65	$169.82	$338.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $204.17 / $316.23	Professional		$173.78	$204.17	$316.23