Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $933.25 / $1,348.96	Facility		$371.54	$933.25	$1,348.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $380.19 / $467.74	Professional		$338.84	$380.19	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $933.25 / $1,174.90	Professional		$630.96	$933.25	$1,174.90
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 $489.78 / $588.84 / $1,122.02	Facility		$489.78	$588.84	$1,122.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $489.78 / $1,949.84	Professional		$295.12	$489.78	$1,949.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $630.96	Professional		$588.84	$588.84	$630.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $524.81 / $1,047.13	Professional		$478.63	$524.81	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $1,122.02	Facility		$489.78	$489.78	$1,122.02
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $1,230.27	Professional		$295.12	$295.12	$1,230.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78