Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $245.47 / $549.54	Facility		$107.15	$245.47	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $151.36 / $407.38	Professional		$70.79	$151.36	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $199.53 / $295.12	Professional		$120.23	$199.53	$295.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $123.03 / $316.23	Professional		$63.10	$123.03	$316.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $181.97 / $1,023.29	Facility		$100.00	$181.97	$1,023.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $181.97 / $549.54	Professional		$97.72	$181.97	$549.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $204.17 / $263.03	Professional		$154.88	$204.17	$263.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $181.97 / $263.03	Professional		$131.83	$181.97	$263.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $123.03 / $223.87	Professional		$67.61	$123.03	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,202.26 / $2,344.23	Facility		$602.56	$1,202.26	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $114.82 / $229.09	Professional		$70.79	$114.82	$229.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $158.49 / $229.09	Professional		$134.90	$158.49	$229.09