Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $1,288.25 / $6,760.83	Facility		$190.55	$1,288.25	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $173.78 / $741.31	Professional		$114.82	$173.78	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $346.74 / $436.52	Professional		$281.84	$346.74	$436.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $269.15 / $741.31	Professional		$151.36	$269.15	$741.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $371.54 / $3,235.94	Facility		$190.55	$371.54	$3,235.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $316.23 / $933.25	Professional		$173.78	$316.23	$933.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $346.74 / $426.58	Professional		$288.40	$346.74	$426.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $354.81 / $416.87	Professional		$263.03	$354.81	$416.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $309.03 / $398.11	Professional		$3.98	$309.03	$398.11
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 $144.54 / $229.09 / $398.11	Professional		$144.54	$229.09	$398.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $295.12 / $354.81	Professional		$251.19	$295.12	$354.81