Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $1,202.26 / $5,011.87	Facility		$151.36	$1,202.26	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $239.88 / $794.33	Professional		$144.54	$239.88	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $380.19 / $467.74	Professional		$309.03	$380.19	$467.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $239.88 / $501.19	Professional		$134.90	$239.88	$501.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $446.68 / $3,890.45	Facility		$302.00	$446.68	$3,890.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $331.13 / $676.08	Professional		$181.97	$331.13	$676.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $371.54 / $446.68	Professional		$331.13	$371.54	$446.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $323.59 / $446.68	Professional		$275.42	$323.59	$446.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $239.88 / $354.81	Professional		$134.90	$239.88	$354.81
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 $158.49 / $251.19 / $467.74	Professional		$158.49	$251.19	$467.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $316.23 / $389.05	Professional		$257.04	$316.23	$389.05