Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $2,290.87 / $6,456.54	Facility		$229.09	$2,290.87	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $138.04 / $467.74	Professional		$58.88	$138.04	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $186.21 / $478.63	Professional		$134.90	$186.21	$478.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $186.21 / $588.84	Professional		$67.61	$186.21	$588.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $302.00 / $2,951.21	Facility		$102.33	$302.00	$2,951.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $251.19 / $1,122.02	Professional		$134.90	$251.19	$1,122.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $302.00 / $407.38	Professional		$158.49	$302.00	$407.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $251.19 / $407.38	Professional		$134.90	$251.19	$407.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $151.36 / $380.19	Professional		$64.57	$151.36	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,884.03 / $4,897.79	Facility		$1,621.81	$2,884.03	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $147.91 / $354.81	Professional		$69.18	$147.91	$354.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $245.47 / $363.08	Professional		$123.03	$245.47	$363.08