Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $700.70 / $978.74	Facility		$550.00	$700.70	$978.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $370.35 / $425.00 / $758.70	Professional		$370.35	$425.00	$758.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,781.21 / $1,834.65 / $1,888.08	Facility		$1,781.21	$1,834.65	$1,888.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $493.50 / $910.00 / $1,473.69	Professional		$493.50	$910.00	$1,473.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $331.00 / $495.03 / $1,380.45	Professional		$331.00	$495.03	$1,380.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $541.46 / $940.80 / $2,491.77	Facility		$541.46	$940.80	$2,491.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $500.98 / $757.15 / $4,246.14	Professional		$500.98	$757.15	$4,246.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $405.86 / $800.58 / $1,313.92	Facility		$405.86	$800.58	$1,313.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $720.08 / $858.55 / $1,273.65	Professional		$720.08	$858.55	$1,273.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $135.44 / $357.79 / $638.66	Professional		$135.44	$357.79	$638.66
United Facility/Professional Facility Modifier Low / Median / High Price $650.13 / $651.90 / $965.78	Facility		$650.13	$651.90	$965.78
United Facility/Professional Professional Modifier Low / Median / High Price $459.23 / $626.22 / $1,300.07	Professional		$459.23	$626.22	$1,300.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $661.63 / $837.50 / $985.30	Professional		$661.63	$837.50	$985.30