Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $5,370.32 / $7,943.28	Facility		$181.97	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $128.82 / $269.15	Professional		$104.71	$128.82	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $239.88 / $302.00	Professional		$120.23	$239.88	$302.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $190.55 / $467.74	Professional		$102.33	$190.55	$467.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $239.88 / $2,344.23	Facility		$114.82	$239.88	$2,344.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $223.87 / $812.83	Professional		$123.03	$223.87	$812.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $257.04 / $302.00	Professional		$245.47	$257.04	$302.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $229.09 / $309.03	Professional		$194.98	$229.09	$309.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $245.47 / $281.84	Professional		$218.78	$245.47	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $4,897.79 / $7,413.10	Facility		$1,318.26	$4,897.79	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $186.21 / $323.59	Professional		$120.23	$186.21	$323.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $218.78 / $257.04	Professional		$169.82	$218.78	$257.04