Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $2,511.89 / $6,760.83	Facility		$104.71	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $151.36 / $398.11	Professional		$67.61	$151.36	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $371.54 / $478.63	Professional		$162.18	$371.54	$478.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $213.80 / $354.81	Professional		$91.20	$213.80	$354.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $323.59 / $1,621.81	Facility		$151.36	$323.59	$1,621.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $218.78 / $776.25	Professional		$144.54	$218.78	$776.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $288.40 / $436.52	Professional		$138.04	$288.40	$436.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $190.55 / $416.87	Professional		$134.90	$190.55	$416.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $234.42 / $436.52	Professional		$3.02	$234.42	$436.52
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 $83.18 / $169.82 / $346.74	Professional		$83.18	$169.82	$346.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $162.18 / $363.08	Professional		$138.04	$162.18	$363.08