Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.72 / $861.89 / $1,469.06	Facility		$691.72	$861.89	$1,469.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $415.04 / $415.04 / $440.98	Professional		$415.04	$415.04	$440.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $440.98 / $440.98 / $440.98	Professional		$440.98	$440.98	$440.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $215.14 / $488.97 / $488.97	Professional		$215.14	$488.97	$488.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $330.02 / $395.27 / $668.01	Facility		$330.02	$395.27	$668.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,754.69 / $1,754.69 / $1,754.69	Professional		$1,754.69	$1,754.69	$1,754.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $27.40 / $27.40	Professional		$27.40	$27.40	$27.40
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $411.74 / $411.74 / $411.74	Facility		$411.74	$411.74	$411.74