Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $776.25 / $1,122.02	Facility		$316.23	$776.25	$1,122.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $316.23 / $380.19	Professional		$173.78	$316.23	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $977.24	Professional		$776.25	$776.25	$977.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $524.81 / $741.31	Professional		$151.36	$524.81	$741.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $489.78 / $933.25	Facility		$407.38	$489.78	$933.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $338.84 / $1,122.02	Professional		$147.91	$338.84	$1,122.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $436.52 / $870.96	Professional		$407.38	$436.52	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $933.25	Facility		$407.38	$407.38	$933.25
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $616.60	Professional		$147.91	$147.91	$616.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Professional		$407.38	$407.38	$407.38