Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $2,511.89 / $6,760.83	Facility		$177.83	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $177.83 / $457.09	Professional		$104.71	$177.83	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $354.81 / $537.03	Professional		$275.42	$354.81	$537.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $213.80 / $407.38	Professional		$120.23	$213.80	$407.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $346.74 / $1,380.38	Facility		$186.21	$346.74	$1,380.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $309.03 / $549.54	Professional		$181.97	$309.03	$549.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $323.59 / $489.78	Professional		$263.03	$323.59	$489.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $190.55 / $363.08	Professional		$102.33	$190.55	$363.08
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 $134.90 / $204.17 / $407.38	Professional		$134.90	$204.17	$407.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $251.19 / $380.19	Professional		$213.80	$251.19	$380.19