Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.42 / $371.42 / $371.42	Facility		$371.42	$371.42	$371.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $441.30 / $1,272.30 / $1,741.26	Professional		$441.30	$1,272.30	$1,741.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,291.89 / $1,330.65 / $1,369.40	Facility		$1,291.89	$1,330.65	$1,369.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.17 / $686.49 / $3,339.26	Professional		$253.17	$686.49	$3,339.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $261.73 / $425.34 / $738.43	Professional		$261.73	$425.34	$738.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $124.10 / $1,098.67 / $3,586.95	Facility		$124.10	$1,098.67	$3,586.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $267.36 / $1,700.52 / $2,965.31	Professional		$267.36	$1,700.52	$2,965.31
Midlands Facility/Professional Facility Modifier Low / Median / High Price $117.41 / $687.01 / $1,524.08	Facility		$117.41	$687.01	$1,524.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $111.42 / $505.12 / $3,061.18	Professional		$111.42	$505.12	$3,061.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $55.20 / $102.58 / $1,288.06	Professional		$55.20	$102.58	$1,288.06
United Facility/Professional Professional Modifier Low / Median / High Price $366.17 / $1,843.72 / $2,965.47	Professional		$366.17	$1,843.72	$2,965.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,187.59 / $2,769.10 / $3,257.70	Professional		$2,187.59	$2,769.10	$3,257.70