Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $2,511.89 / $6,760.83	Facility		$154.88	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $147.91 / $295.12	Professional		$91.20	$147.91	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $234.42 / $354.81	Professional		$104.71	$234.42	$354.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $144.54 / $389.05	Professional		$81.28	$144.54	$389.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $316.23 / $5,495.41	Facility		$208.93	$316.23	$5,495.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $257.04 / $660.69	Professional		$151.36	$257.04	$660.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $257.04 / $331.13	Professional		$213.80	$257.04	$331.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $134.90 / $251.19	Professional		$74.13	$134.90	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,137.96 / $6,025.60	Facility		$1,148.15	$2,137.96	$6,025.60
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $181.97 / $323.59	Professional		$104.71	$181.97	$323.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $194.98 / $263.03	Professional		$165.96	$194.98	$263.03