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 $245.47 / $316.23 / $467.74	Professional		$245.47	$316.23	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $724.44 / $891.25	Professional		$489.78	$724.44	$891.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $467.74 / $660.69	Professional		$323.59	$467.74	$660.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $446.68 / $870.96	Facility		$213.80	$446.68	$870.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $234.42 / $1,047.13	Professional		$56.23	$234.42	$1,047.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $489.78	Professional		$446.68	$446.68	$489.78
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 $56.23 / $223.87 / $389.05	Professional		$56.23	$223.87	$389.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54