Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $165.96 / $407.38	Facility		$64.57	$165.96	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $131.83 / $389.05	Professional		$51.29	$131.83	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $125.89 / $251.19	Professional		$91.20	$125.89	$251.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $104.71 / $281.84	Professional		$43.65	$104.71	$281.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $162.18 / $1,023.29	Facility		$66.07	$162.18	$1,023.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $154.88 / $331.13	Professional		$85.11	$154.88	$331.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $162.18 / $223.87	Professional		$102.33	$162.18	$223.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $165.96 / $223.87	Professional		$114.82	$165.96	$223.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $95.50 / $199.53	Professional		$42.66	$95.50	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,202.26 / $2,344.23	Facility		$354.81	$1,202.26	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $91.20 / $199.53	Professional		$47.86	$91.20	$199.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $93.33 / $194.98	Professional		$79.43	$93.33	$194.98