Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $457.09 / $5,370.32	Facility		$190.55	$457.09	$5,370.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $173.78 / $446.68	Professional		$75.86	$173.78	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $263.03 / $380.19	Professional		$162.18	$263.03	$380.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $194.98 / $354.81	Professional		$87.10	$194.98	$354.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $281.84 / $1,380.38	Facility		$151.36	$281.84	$1,380.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $213.80 / $630.96	Professional		$138.04	$213.80	$630.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $263.03 / $346.74	Professional		$151.36	$263.03	$346.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $181.97 / $338.84	Professional		$147.91	$181.97	$338.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $234.42 / $346.74	Professional		$6.03	$234.42	$346.74
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 $75.86 / $151.36 / $302.00	Professional		$75.86	$151.36	$302.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $151.36 / $275.42	Professional		$128.82	$151.36	$275.42