Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $467.74 / $691.83	Facility		$190.55	$467.74	$691.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $194.98 / $234.42	Professional		$162.18	$194.98	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $588.84	Professional		$478.63	$478.63	$588.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $323.59 / $446.68	Professional		$151.36	$323.59	$446.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $295.12 / $575.44	Facility		$251.19	$295.12	$575.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $251.19 / $1,000.00	Professional		$147.91	$251.19	$1,000.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $269.15 / $524.81	Professional		$239.88	$269.15	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $575.44	Facility		$251.19	$251.19	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $630.96	Professional		$147.91	$147.91	$630.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19