Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $602.56 / $977.24	Facility		$398.11	$602.56	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $398.11 / $1,174.90	Professional		$34.67	$398.11	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $758.58 / $912.01	Professional		$501.19	$758.58	$912.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $501.19 / $724.44	Professional		$380.19	$501.19	$724.44
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 / $2,454.71	Professional		$44.67	$58.88	$2,454.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $22.39 / $46.77	Professional		$14.13	$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 $707.95 / $707.95 / $912.01	Professional		$707.95	$707.95	$912.01