Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $331.13 / $537.03	Facility		$213.80	$331.13	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $213.80 / $645.65	Professional		$37.15	$213.80	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $371.54 / $457.09	Professional		$251.19	$371.54	$457.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $331.13 / $489.78	Professional		$251.19	$331.13	$489.78
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 / $1,348.96	Professional		$44.67	$58.88	$1,348.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $22.39 / $46.77	Professional		$8.91	$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 $380.19 / $380.19 / $489.78	Professional		$380.19	$380.19	$489.78