Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $575.44 / $831.76	Facility		$234.42	$575.44	$831.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $257.04 / $380.19	Professional		$199.53	$257.04	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $588.84 / $724.44	Professional		$389.05	$588.84	$724.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $537.03 / $660.69	Professional		$257.04	$537.03	$660.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $363.08 / $707.95	Facility		$302.00	$363.08	$707.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $363.08 / $1,202.26	Professional		$181.97	$363.08	$1,202.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $389.05	Professional		$363.08	$363.08	$389.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $331.13 / $645.65	Professional		$302.00	$331.13	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $707.95	Facility		$302.00	$302.00	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $776.25	Professional		$181.97	$181.97	$776.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00