Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $407.38 / $6,760.83	Facility		$117.49	$407.38	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $186.21 / $575.44	Professional		$72.44	$186.21	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $199.53 / $363.08	Professional		$158.49	$199.53	$363.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $147.91 / $281.84	Professional		$69.18	$147.91	$281.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $275.42 / $1,380.38	Facility		$128.82	$275.42	$1,380.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $194.98 / $389.05	Professional		$141.25	$194.98	$389.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $239.88 / $331.13	Professional		$151.36	$239.88	$331.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $123.03 / $251.19	Professional		$58.88	$123.03	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,202.26 / $2,344.23	Facility		$512.86	$1,202.26	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $141.25 / $288.40	Professional		$81.28	$141.25	$288.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $158.49 / $275.42	Professional		$134.90	$158.49	$275.42