Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $2,511.89 / $6,760.83	Facility		$144.54	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $208.93 / $588.84	Professional		$112.20	$208.93	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $338.84 / $512.86	Professional		$275.42	$338.84	$512.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $269.15 / $467.74	Professional		$128.82	$269.15	$467.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $389.05 / $3,235.94	Facility		$177.83	$389.05	$3,235.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $323.59 / $891.25	Professional		$190.55	$323.59	$891.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $371.54 / $478.63	Professional		$269.15	$371.54	$478.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $323.59 / $467.74	Professional		$239.88	$323.59	$467.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $309.03 / $467.74	Professional		$3.02	$309.03	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,951.21 / $4,897.79	Facility		$1,584.89	$2,951.21	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $239.88 / $416.87	Professional		$141.25	$239.88	$416.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $269.15 / $398.11	Professional		$229.09	$269.15	$398.11