Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $758.58 / $1,174.90	Facility		$309.03	$758.58	$1,174.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $363.08 / $891.25	Professional		$281.84	$363.08	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $776.25 / $954.99	Professional		$524.81	$776.25	$954.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $660.69 / $870.96	Professional		$338.84	$660.69	$870.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $478.63 / $1,096.48	Facility		$398.11	$478.63	$1,096.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $489.78 / $1,995.26	Professional		$239.88	$489.78	$1,995.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $524.81	Professional		$478.63	$478.63	$524.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $436.52 / $851.14	Professional		$398.11	$436.52	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $933.25	Facility		$398.11	$398.11	$933.25
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $251.19 / $1,096.48	Professional		$239.88	$251.19	$1,096.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11