Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $398.11 / $575.44	Facility		$158.49	$398.11	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $173.78 / $263.03	Professional		$144.54	$173.78	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $398.11 / $501.19	Professional		$269.15	$398.11	$501.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $363.08 / $380.19	Professional		$177.83	$363.08	$380.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $251.19 / $524.81	Facility		$208.93	$251.19	$524.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $208.93 / $831.76	Professional		$123.03	$208.93	$831.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $269.15	Professional		$251.19	$251.19	$269.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $223.87 / $446.68	Professional		$208.93	$223.87	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $478.63	Facility		$208.93	$208.93	$478.63
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $524.81	Professional		$123.03	$123.03	$524.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93