Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $389.05 / $630.96	Facility		$251.19	$389.05	$630.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $251.19 / $741.31	Professional		$34.67	$251.19	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $446.68 / $549.54	Professional		$302.00	$446.68	$549.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $389.05 / $575.44	Professional		$295.12	$389.05	$575.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $64.57 / $4,073.80	Facility		$57.54	$64.57	$4,073.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $58.88 / $1,584.89	Professional		$44.67	$58.88	$1,584.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $22.39 / $46.77	Professional		$10.72	$22.39	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $54.95 / $83.18	Professional		$39.81	$54.95	$83.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $575.44	Professional		$446.68	$446.68	$575.44