Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $3,162.28 / $7,943.28	Facility		$309.03	$3,162.28	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $208.93 / $724.44	Professional		$128.82	$208.93	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $389.05 / $575.44	Professional		$309.03	$389.05	$575.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $338.84 / $575.44	Professional		$151.36	$338.84	$575.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $457.09 / $1,621.81	Facility		$234.42	$457.09	$1,621.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $398.11 / $1,513.56	Professional		$239.88	$398.11	$1,513.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $457.09 / $575.44	Professional		$295.12	$457.09	$575.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $354.81 / $575.44	Professional		$251.19	$354.81	$575.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $446.68 / $562.34	Professional		$6.03	$446.68	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,202.26 / $2,344.23	Facility		$436.52	$1,202.26	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $281.84 / $524.81	Professional		$151.36	$281.84	$524.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $295.12 / $457.09	Professional		$245.47	$295.12	$457.09