Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $507.66 / $700.70 / $3,962.42	Facility		$507.66	$700.70	$3,962.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $360.17 / $425.00 / $687.89	Professional		$360.17	$425.00	$687.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,356.83 / $1,397.53 / $1,438.24	Facility		$1,356.83	$1,397.53	$1,438.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $438.82 / $971.95 / $1,304.28	Professional		$438.82	$971.95	$1,304.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $410.00 / $561.44 / $1,829.14	Professional		$410.00	$561.44	$1,829.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $350.24 / $658.72 / $1,412.31	Facility		$350.24	$658.72	$1,412.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $467.64 / $776.06 / $2,369.29	Professional		$467.64	$776.06	$2,369.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $209.73 / $711.40 / $1,329.12	Facility		$209.73	$711.40	$1,329.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $522.25 / $835.45 / $1,329.12	Professional		$522.25	$835.45	$1,329.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $520.50 / $520.50 / $520.50	Professional		$520.50	$520.50	$520.50
United Facility/Professional Professional Modifier Low / Median / High Price $458.06 / $614.29 / $1,315.23	Professional		$458.06	$614.29	$1,315.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $730.99 / $925.30 / $1,088.59	Professional		$730.99	$925.30	$1,088.59