Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $2,290.87 / $6,760.83	Facility		$223.87	$2,290.87	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $199.53 / $436.52	Professional		$104.71	$199.53	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $251.19 / $380.19	Professional		$120.23	$251.19	$380.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $151.36 / $331.13	Professional		$93.33	$151.36	$331.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $323.59 / $1,621.81	Facility		$194.98	$323.59	$1,621.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $269.15 / $758.58	Professional		$147.91	$269.15	$758.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $269.15 / $346.74	Professional		$223.87	$269.15	$346.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $158.49 / $269.15	Professional		$89.13	$158.49	$269.15
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 $112.20 / $169.82 / $316.23	Professional		$112.20	$169.82	$316.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $229.09 / $288.40	Professional		$194.98	$229.09	$288.40