Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $3,090.30 / $6,760.83	Facility		$186.21	$3,090.30	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $223.87 / $776.25	Professional		$138.04	$223.87	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $524.81 / $691.83	Professional		$281.84	$524.81	$691.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $323.59 / $575.44	Professional		$154.88	$323.59	$575.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $436.52 / $1,348.96	Facility		$194.98	$436.52	$1,348.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $398.11 / $1,148.15	Professional		$229.09	$398.11	$1,148.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $407.38 / $616.60	Professional		$338.84	$407.38	$616.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $398.11 / $588.84	Professional		$275.42	$398.11	$588.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $245.47 / $467.74	Professional		$131.83	$245.47	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,202.26 / $2,344.23	Facility		$562.34	$1,202.26	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $295.12 / $501.19	Professional		$165.96	$295.12	$501.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $338.84 / $512.86	Professional		$288.40	$338.84	$512.86