Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $584.90 / $1,137.85 / $1,591.61	Facility		$584.90	$1,137.85	$1,591.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $386.03 / $450.37 / $567.35	Professional		$386.03	$450.37	$567.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,579.23 / $1,626.61 / $1,673.98	Facility		$1,579.23	$1,626.61	$1,673.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $701.88 / $1,062.10 / $1,327.63	Professional		$701.88	$1,062.10	$1,327.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $497.17 / $789.62 / $2,989.48	Professional		$497.17	$789.62	$2,989.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $584.90 / $754.78 / $1,497.34	Facility		$584.90	$754.78	$1,497.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $350.94 / $392.47 / $2,299.94	Professional		$350.94	$392.47	$2,299.94
Midlands Facility/Professional Facility Modifier Low / Median / High Price $701.88 / $1,069.64 / $1,626.61	Facility		$701.88	$1,069.64	$1,626.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $701.88 / $1,069.64 / $1,526.59	Professional		$701.88	$1,069.64	$1,526.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $584.90 / $584.90 / $1,044.05	Professional		$584.90	$584.90	$1,044.05
United Facility/Professional Professional Modifier Low / Median / High Price $350.94 / $350.94 / $1,479.21	Professional		$350.94	$350.94	$1,479.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $584.90 / $584.90 / $584.90	Professional		$584.90	$584.90	$584.90