Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $851.14 / $1,230.27	Facility		$346.74	$851.14	$1,230.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $363.08 / $446.68	Professional		$316.23	$363.08	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $1,071.52	Professional		$870.96	$870.96	$1,071.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $588.84 / $812.83	Professional		$151.36	$588.84	$812.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $537.03 / $1,047.13	Facility		$446.68	$537.03	$1,047.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $446.68 / $1,819.70	Professional		$269.15	$446.68	$1,819.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Professional		$537.03	$537.03	$537.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $489.78 / $954.99	Professional		$446.68	$489.78	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $1,047.13	Facility		$446.68	$446.68	$1,047.13
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $1,148.15	Professional		$269.15	$269.15	$1,148.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Professional		$446.68	$446.68	$446.68