Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $446.68 / $645.65	Facility		$181.97	$446.68	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $190.55 / $295.12	Professional		$154.88	$190.55	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $446.68 / $562.34	Professional		$302.00	$446.68	$562.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $302.00 / $407.38	Professional		$58.88	$302.00	$407.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $281.84 / $537.03	Facility		$234.42	$281.84	$537.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $281.84 / $912.01	Professional		$141.25	$281.84	$912.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $302.00	Professional		$281.84	$281.84	$302.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $251.19 / $501.19	Professional		$234.42	$251.19	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $537.03	Facility		$234.42	$234.42	$537.03
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $588.84	Professional		$141.25	$141.25	$588.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42