Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $524.81 / $758.58	Facility		$208.93	$524.81	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $218.78 / $275.42	Professional		$190.55	$218.78	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $660.69	Professional		$524.81	$524.81	$660.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $354.81 / $501.19	Professional		$151.36	$354.81	$501.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $331.13 / $630.96	Facility		$275.42	$331.13	$630.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $275.42 / $1,096.48	Professional		$165.96	$275.42	$1,096.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Professional		$331.13	$331.13	$331.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $295.12 / $588.84	Professional		$275.42	$295.12	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $630.96	Facility		$275.42	$275.42	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $691.83	Professional		$165.96	$165.96	$691.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42