Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $2,511.89 / $6,760.83	Facility		$154.88	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $263.03 / $616.60	Professional		$104.71	$263.03	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $302.00 / $831.76	Professional		$239.88	$302.00	$831.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $467.74 / $831.76	Professional		$128.82	$467.74	$831.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $645.65 / $1,621.81	Facility		$239.88	$645.65	$1,621.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $537.03 / $1,348.96	Professional		$263.03	$537.03	$1,348.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $616.60 / $776.25	Professional		$223.87	$616.60	$776.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $281.84 / $776.25	Professional		$213.80	$281.84	$776.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $281.84 / $645.65	Professional		$100.00	$281.84	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,288.25 / $2,344.23	Facility		$724.44	$1,288.25	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $309.03 / $707.95	Professional		$125.89	$309.03	$707.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $223.87 / $602.56	Professional		$190.55	$223.87	$602.56