Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $467.74 / $6,760.83	Facility		$165.96	$467.74	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $199.53 / $489.78	Professional		$83.18	$199.53	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $234.42 / $309.03	Professional		$144.54	$234.42	$309.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $134.90 / $346.74	Professional		$77.62	$134.90	$346.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $218.78 / $1,023.29	Facility		$107.15	$218.78	$1,023.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $229.09 / $724.44	Professional		$114.82	$229.09	$724.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $223.87 / $281.84	Professional		$181.97	$223.87	$281.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $229.09 / $281.84	Professional		$177.83	$229.09	$281.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $131.83 / $218.78	Professional		$72.44	$131.83	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,202.26 / $2,344.23	Facility		$537.03	$1,202.26	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $138.04 / $251.19	Professional		$85.11	$138.04	$251.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $181.97 / $234.42	Professional		$154.88	$181.97	$234.42