Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $2,511.89 / $6,760.83	Facility		$199.53	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $162.18 / $549.54	Professional		$120.23	$162.18	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $338.84 / $436.52	Professional		$190.55	$338.84	$436.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $186.21 / $416.87	Professional		$117.49	$186.21	$416.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $316.23 / $1,023.29	Facility		$158.49	$316.23	$1,023.29
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $416.87 / $416.87 / $416.87	Facility	54	$416.87	$416.87	$416.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $288.40 / $954.99	Professional		$144.54	$288.40	$954.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $323.59 / $389.05	Professional		$281.84	$323.59	$389.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $288.40 / $389.05	Professional		$239.88	$288.40	$389.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $239.88 / $323.59	Professional		$131.83	$239.88	$323.59
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 $123.03 / $181.97 / $363.08	Professional		$123.03	$181.97	$363.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $288.40 / $338.84	Professional		$223.87	$288.40	$338.84