Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $275.42 / $446.68	Facility		$181.97	$275.42	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $181.97 / $524.81	Professional		$34.67	$181.97	$524.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $275.42 / $407.38	Professional		$213.80	$275.42	$407.38
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 / $1,122.02	Professional		$44.67	$58.88	$1,122.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $22.39 / $46.77	Professional		$7.08	$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 $323.59 / $323.59 / $407.38	Professional		$323.59	$323.59	$407.38