Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $912.01 / $1,318.26	Facility		$371.54	$912.01	$1,318.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $371.54 / $467.74	Professional		$144.54	$371.54	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $1,148.15	Professional		$933.25	$933.25	$1,148.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $630.96 / $870.96	Professional		$151.36	$630.96	$870.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $575.44 / $1,096.48	Facility		$478.63	$575.44	$1,096.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $213.80 / $1,819.70	Professional		$123.03	$213.80	$1,819.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $524.81 / $1,023.29	Professional		$478.63	$524.81	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $1,096.48	Facility		$478.63	$478.63	$1,096.48
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $562.34	Professional		$123.03	$123.03	$562.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Professional		$478.63	$478.63	$478.63