Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $2,511.89 / $6,760.83	Facility		$125.89	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $95.50 / $213.80	Professional		$69.18	$95.50	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $186.21 / $251.19	Professional		$79.43	$186.21	$251.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $102.33 / $295.12	Professional		$61.66	$102.33	$295.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $218.78 / $1,380.38	Facility		$120.23	$218.78	$1,380.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $186.21 / $588.84	Professional		$95.50	$186.21	$588.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $186.21 / $218.78	Professional		$144.54	$186.21	$218.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $107.15 / $177.83	Professional		$60.26	$107.15	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,202.26 / $2,344.23	Facility		$588.84	$1,202.26	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $112.20 / $218.78	Professional		$74.13	$112.20	$218.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $158.49 / $186.21	Professional		$125.89	$158.49	$186.21