Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $575.44 / $831.76	Facility		$234.42	$575.44	$831.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $239.88 / $302.00	Professional		$208.93	$239.88	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $724.44	Professional		$575.44	$575.44	$724.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $389.05 / $549.54	Professional		$151.36	$389.05	$549.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $363.08 / $691.83	Facility		$302.00	$363.08	$691.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $302.00 / $1,202.26	Professional		$181.97	$302.00	$1,202.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $323.59 / $645.65	Professional		$302.00	$323.59	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $691.83	Facility		$302.00	$302.00	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $758.58	Professional		$181.97	$181.97	$758.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00