Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $2,511.89 / $6,760.83	Facility		$141.25	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $125.89 / $309.03	Professional		$91.20	$125.89	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $288.40 / $363.08	Professional		$218.78	$288.40	$363.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $223.87 / $467.74	Professional		$102.33	$223.87	$467.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $309.03 / $1,380.38	Facility		$141.25	$309.03	$1,380.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $257.04 / $891.25	Professional		$151.36	$257.04	$891.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $269.15 / $331.13	Professional		$208.93	$269.15	$331.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $257.04 / $338.84	Professional		$186.21	$257.04	$338.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $257.04 / $316.23	Professional		$181.97	$257.04	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,202.26 / $2,344.23	Facility		$537.03	$1,202.26	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $190.55 / $331.13	Professional		$114.82	$190.55	$331.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $218.78 / $281.84	Professional		$186.21	$218.78	$281.84