Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $794.33 / $1,148.15	Facility		$323.59	$794.33	$1,148.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $331.13 / $416.87	Professional		$288.40	$331.13	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $1,000.00	Professional		$794.33	$794.33	$1,000.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $537.03 / $758.58	Professional		$151.36	$537.03	$758.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $537.03 / $1,071.52	Facility		$398.11	$537.03	$1,071.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $416.87 / $1,659.59	Professional		$251.19	$416.87	$1,659.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Professional		$501.19	$501.19	$501.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $446.68 / $891.25	Professional		$416.87	$446.68	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $630.96	Facility		$416.87	$416.87	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $1,047.13	Professional		$251.19	$251.19	$1,047.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87