Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $700.70 / $737.21	Facility		$550.00	$700.70	$737.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.53 / $425.00 / $700.00	Professional		$338.53	$425.00	$700.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,586.42 / $1,634.01 / $1,681.61	Facility		$1,586.42	$1,634.01	$1,681.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $439.58 / $803.23 / $1,309.95	Professional		$439.58	$803.23	$1,309.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $288.14 / $535.33 / $1,642.91	Professional		$288.14	$535.33	$1,642.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $560.54 / $835.99 / $1,733.63	Facility		$560.54	$835.99	$1,733.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $404.84 / $685.96 / $3,166.97	Professional		$404.84	$685.96	$3,166.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $657.49 / $835.99 / $1,634.01	Facility		$657.49	$835.99	$1,634.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $657.49 / $835.99 / $1,168.79	Professional		$657.49	$835.99	$1,168.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $83.40 / $307.76 / $592.35	Professional		$83.40	$307.76	$592.35
United Facility/Professional Facility Modifier Low / Median / High Price $415.95 / $421.93 / $616.22	Facility		$415.95	$421.93	$616.22
United Facility/Professional Professional Modifier Low / Median / High Price $369.10 / $482.02 / $1,008.43	Professional		$369.10	$482.02	$1,008.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $582.78 / $737.70 / $867.90	Professional		$582.78	$737.70	$867.90