Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $700.70 / $706.83	Facility		$550.00	$700.70	$706.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $353.99 / $425.00 / $623.78	Professional		$353.99	$425.00	$623.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,472.70 / $1,516.88 / $1,561.06	Facility		$1,472.70	$1,516.88	$1,561.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $435.02 / $905.24 / $1,215.98	Professional		$435.02	$905.24	$1,215.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $359.95 / $613.65 / $1,345.01	Professional		$359.95	$613.65	$1,345.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $137.29 / $724.00 / $1,583.41	Facility		$137.29	$724.00	$1,583.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $437.87 / $746.00 / $2,814.89	Professional		$437.87	$746.00	$2,814.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $78.23 / $756.45 / $1,203.44	Facility		$78.23	$756.45	$1,203.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $672.53 / $861.15 / $1,203.44	Professional		$672.53	$861.15	$1,203.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $100.13 / $515.96 / $937.46	Professional		$100.13	$515.96	$937.46
United Facility/Professional Professional Modifier Low / Median / High Price $424.09 / $593.42 / $1,199.38	Professional		$424.09	$593.42	$1,199.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $682.17 / $863.50 / $1,015.90	Professional		$682.17	$863.50	$1,015.90