Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $2,290.87 / $6,025.60	Facility		$131.83	$2,290.87	$6,025.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $380.19 / $776.25	Professional		$165.96	$380.19	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $407.38 / $489.78	Professional		$389.05	$407.38	$489.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $281.84 / $977.24	Professional		$158.49	$281.84	$977.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $426.58 / $1,905.46	Facility		$245.47	$426.58	$1,905.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $363.08 / $891.25	Professional		$199.53	$363.08	$891.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $398.11 / $691.83	Professional		$380.19	$398.11	$691.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $457.09 / $457.09	Professional		$371.54	$457.09	$457.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $398.11 / $436.52	Professional		$275.42	$398.11	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $3,548.13	Facility		$1,148.15	$1,621.81	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $309.03 / $549.54	Professional		$181.97	$309.03	$549.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $389.05	Professional		$331.13	$331.13	$389.05