Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $2,570.40 / $6,760.83	Facility		$380.19	$2,570.40	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $363.08 / $691.83	Professional		$245.47	$363.08	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $588.84 / $741.31	Professional		$562.34	$588.84	$741.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $338.84 / $977.24	Professional		$223.87	$338.84	$977.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $512.86 / $1,778.28	Facility		$309.03	$512.86	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $426.58 / $794.33	Professional		$275.42	$426.58	$794.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $562.34 / $912.01	Professional		$457.09	$562.34	$912.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $446.68 / $575.44	Professional		$245.47	$446.68	$575.44
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,202.26 / $2,344.23	Facility		$436.52	$1,202.26	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $380.19 / $676.08	Professional		$275.42	$380.19	$676.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $407.38 / $478.63	Professional		$323.59	$407.38	$478.63