Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $870.96 / $1,445.44	Facility		$575.44	$870.96	$1,445.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $575.44 / $1,698.24	Professional		$34.67	$575.44	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,122.02 / $1,348.96	Professional		$758.58	$1,122.02	$1,348.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $870.96 / $1,288.25	Professional		$676.08	$870.96	$1,288.25
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 / $3,630.78	Professional		$44.67	$58.88	$3,630.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $23.44 / $46.77	Professional		$19.50	$23.44	$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 $1,023.29 / $1,023.29 / $1,318.26	Professional		$1,023.29	$1,023.29	$1,318.26