Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $2,398.83 / $6,760.83	Facility		$158.49	$2,398.83	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $173.78 / $588.84	Professional		$97.72	$173.78	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $309.03 / $501.19	Professional		$245.47	$309.03	$501.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $194.98 / $371.54	Professional		$104.71	$194.98	$371.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $323.59 / $1,380.38	Facility		$169.82	$323.59	$1,380.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $275.42 / $512.86	Professional		$162.18	$275.42	$512.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $288.40 / $436.52	Professional		$234.42	$288.40	$436.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $169.82 / $338.84	Professional		$91.20	$169.82	$338.84
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 $120.23 / $186.21 / $371.54	Professional		$120.23	$186.21	$371.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $223.87 / $346.74	Professional		$190.55	$223.87	$346.74