Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $776.25 / $1,122.02	Facility		$316.23	$776.25	$1,122.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $323.59 / $398.11	Professional		$302.00	$323.59	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $977.24	Professional		$776.25	$776.25	$977.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $537.03 / $741.31	Professional		$151.36	$537.03	$741.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $489.78 / $1,047.13	Facility		$407.38	$489.78	$1,047.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $457.09 / $1,819.70	Professional		$245.47	$457.09	$1,819.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $446.68 / $870.96	Professional		$398.11	$446.68	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $933.25	Facility		$407.38	$407.38	$933.25
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $257.04 / $1,047.13	Professional		$245.47	$257.04	$1,047.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Professional		$407.38	$407.38	$407.38