Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $257.04 / $1,380.38	Facility		$154.88	$257.04	$1,380.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $141.25 / $316.23	Professional		$95.50	$141.25	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $281.84 / $380.19	Professional		$177.83	$281.84	$380.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $158.49 / $407.38	Professional		$102.33	$158.49	$407.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $269.15 / $1,023.29	Facility		$141.25	$269.15	$1,023.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $263.03 / $891.25	Professional		$141.25	$263.03	$891.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $281.84 / $346.74	Professional		$239.88	$281.84	$346.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $263.03 / $346.74	Professional		$204.17	$263.03	$346.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $169.82 / $275.42	Professional		$95.50	$169.82	$275.42
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 $107.15 / $173.78 / $323.59	Professional		$107.15	$173.78	$323.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $223.87 / $295.12	Professional		$190.55	$223.87	$295.12