Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $724.44 / $1,047.13	Facility		$295.12	$724.44	$1,047.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $302.00 / $380.19	Professional		$263.03	$302.00	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $912.01	Professional		$724.44	$724.44	$912.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $489.78 / $691.83	Professional		$151.36	$489.78	$691.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $457.09 / $870.96	Facility		$380.19	$457.09	$870.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $380.19 / $1,513.56	Professional		$229.09	$380.19	$1,513.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Professional		$457.09	$457.09	$457.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $407.38 / $812.83	Professional		$380.19	$407.38	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $870.96	Facility		$380.19	$380.19	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $954.99	Professional		$229.09	$229.09	$954.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19