Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $5,011.87 / $7,943.28	Facility		$134.90	$5,011.87	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $131.83 / $316.23	Professional		$89.13	$131.83	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $295.12 / $371.54	Professional		$208.93	$295.12	$371.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $223.87 / $426.58	Professional		$112.20	$223.87	$426.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $331.13 / $3,235.94	Facility		$190.55	$331.13	$3,235.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $263.03 / $676.08	Professional		$154.88	$263.03	$676.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $275.42 / $338.84	Professional		$194.98	$275.42	$338.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $239.88 / $338.84	Professional		$199.53	$239.88	$338.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $302.00 / $363.08	Professional		$6.03	$302.00	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,041.74 / $4,897.79	Facility		$1,148.15	$2,041.74	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $190.55 / $338.84	Professional		$107.15	$190.55	$338.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $194.98 / $275.42	Professional		$165.96	$194.98	$275.42