Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $2,511.89 / $6,760.83	Facility		$134.90	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $234.42 / $478.63	Professional		$85.11	$234.42	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $575.44 / $724.44	Professional		$190.55	$575.44	$724.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $331.13 / $1,122.02	Professional		$93.33	$331.13	$1,122.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $537.03 / $1,905.46	Facility		$190.55	$537.03	$1,905.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $501.19 / $954.99	Professional		$234.42	$501.19	$954.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $501.19 / $707.95	Professional		$208.93	$501.19	$707.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $691.83	Professional		$234.42	$234.42	$691.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $213.80 / $501.19	Professional		$89.13	$213.80	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $3,548.13	Facility		$1,148.15	$1,621.81	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $281.84 / $812.83	Professional		$102.33	$281.84	$812.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $208.93 / $575.44	Professional		$177.83	$208.93	$575.44