Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $2,691.53 / $5,370.32	Facility		$295.12	$2,691.53	$5,370.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $239.88 / $616.60	Professional		$91.20	$239.88	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $281.84 / $758.58	Professional		$223.87	$281.84	$758.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $380.19 / $977.24	Professional		$97.72	$380.19	$977.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $630.96 / $3,467.37	Facility		$213.80	$630.96	$3,467.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $489.78 / $977.24	Professional		$257.04	$489.78	$977.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $524.81 / $707.95	Professional		$213.80	$524.81	$707.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $724.44	Professional		$263.03	$263.03	$724.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $398.11 / $707.95	Professional		$3.02	$398.11	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,344.23 / $4,897.79	Facility		$1,318.26	$2,344.23	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $295.12 / $676.08	Professional		$120.23	$295.12	$676.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $204.17 / $537.03	Professional		$173.78	$204.17	$537.03