Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $602.56 / $7,244.36	Facility		$69.18	$602.56	$7,244.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $109.65 / $302.00	Professional		$53.70	$109.65	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $194.98 / $263.03	Professional		$125.89	$194.98	$263.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $151.36 / $275.42	Professional		$72.44	$151.36	$275.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $199.53 / $1,380.38	Facility		$93.33	$199.53	$1,380.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $169.82 / $426.58	Professional		$102.33	$169.82	$426.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $194.98 / $245.47	Professional		$123.03	$194.98	$245.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $154.88 / $245.47	Professional		$114.82	$154.88	$245.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $190.55 / $239.88	Professional		$128.82	$190.55	$239.88
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 $67.61 / $120.23 / $218.78	Professional		$67.61	$120.23	$218.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $125.89 / $204.17	Professional		$107.15	$125.89	$204.17