Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $549.54 / $891.25	Facility		$363.08	$549.54	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $363.08 / $1,047.13	Professional		$34.67	$363.08	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $676.08 / $812.83	Professional		$446.68	$676.08	$812.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $549.54 / $812.83	Professional		$426.58	$549.54	$812.83
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 / $2,238.72	Professional		$44.67	$58.88	$2,238.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $22.39 / $46.77	Professional		$15.85	$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 $645.65 / $645.65 / $812.83	Professional		$645.65	$645.65	$812.83