Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $2,818.38 / $6,025.60	Facility		$151.36	$2,818.38	$6,025.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $190.55 / $457.09	Professional		$89.13	$190.55	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $257.04 / $363.08	Professional		$208.93	$257.04	$363.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $186.21 / $331.13	Professional		$95.50	$186.21	$331.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $275.42 / $1,380.38	Facility		$134.90	$275.42	$1,380.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $239.88 / $676.08	Professional		$138.04	$239.88	$676.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $257.04 / $346.74	Professional		$199.53	$257.04	$346.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $239.88 / $331.13	Professional		$177.83	$239.88	$331.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $218.78 / $331.13	Professional		$3.02	$218.78	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,202.26 / $2,344.23	Facility		$436.52	$1,202.26	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $165.96 / $295.12	Professional		$104.71	$165.96	$295.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $204.17 / $281.84	Professional		$173.78	$204.17	$281.84