Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $707.95 / $1,047.13	Facility		$288.40	$707.95	$1,047.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $302.00 / $371.54	Professional		$263.03	$302.00	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $891.25	Professional		$724.44	$724.44	$891.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $489.78 / $676.08	Professional		$151.36	$489.78	$676.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $446.68 / $870.96	Facility		$371.54	$446.68	$870.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $371.54 / $1,513.56	Professional		$223.87	$371.54	$1,513.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Professional		$446.68	$446.68	$446.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $407.38 / $794.33	Professional		$371.54	$407.38	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $870.96	Facility		$371.54	$371.54	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $954.99	Professional		$223.87	$223.87	$954.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54