Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $436.52 / $707.95	Facility		$288.40	$436.52	$707.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $288.40 / $831.76	Professional		$34.67	$288.40	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $524.81 / $630.96	Professional		$346.74	$524.81	$630.96
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 / $1,819.70	Professional		$44.67	$58.88	$1,819.70
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 $512.86 / $512.86 / $660.69	Professional		$512.86	$512.86	$660.69