Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $489.78 / $812.83	Facility		$323.59	$489.78	$812.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $323.59 / $870.96	Professional		$34.67	$323.59	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $602.56 / $724.44	Professional		$398.11	$602.56	$724.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $436.52 / $645.65	Professional		$338.84	$436.52	$645.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $64.57 / $4,073.80	Facility		$57.54	$64.57	$4,073.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $58.88 / $2,041.74	Professional		$44.67	$58.88	$2,041.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $22.39 / $46.77	Professional		$12.30	$22.39	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $54.95 / $83.18	Professional		$39.81	$54.95	$83.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $741.31	Professional		$575.44	$575.44	$741.31