Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $630.96 / $954.99	Facility		$251.19	$630.96	$954.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $281.84 / $416.87	Professional		$218.78	$281.84	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $630.96 / $794.33	Professional		$426.58	$630.96	$794.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $467.74 / $575.44	Professional		$281.84	$467.74	$575.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $398.11 / $758.58	Facility		$269.15	$398.11	$758.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $331.13 / $912.01	Professional		$109.65	$331.13	$912.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $426.58	Professional		$398.11	$398.11	$426.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $354.81 / $707.95	Professional		$331.13	$354.81	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $758.58	Facility		$331.13	$331.13	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $199.53 / $602.56	Professional		$109.65	$199.53	$602.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Professional		$331.13	$331.13	$331.13