Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $925.76 / $1,924.34 / $2,689.56	Facility		$925.76	$1,924.34	$2,689.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $401.32 / $626.82 / $2,159.00	Professional		$401.32	$626.82	$2,159.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,272.14 / $1,310.30 / $1,348.47	Facility		$1,272.14	$1,310.30	$1,348.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $843.63 / $973.50 / $1,216.88	Professional		$843.63	$973.50	$1,216.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $397.62 / $649.05 / $1,787.07	Professional		$397.62	$649.05	$1,787.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $639.29 / $965.30 / $1,134.94	Facility		$639.29	$965.30	$1,134.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $456.35 / $691.03 / $5,089.00	Professional		$456.35	$691.03	$5,089.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $731.00 / $962.16 / $1,458.17	Facility		$731.00	$962.16	$1,458.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $731.00 / $905.85 / $1,134.94	Professional		$731.00	$905.85	$1,134.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $399.50 / $453.11 / $789.65	Professional		$399.50	$453.11	$789.65
United Facility/Professional Professional Modifier Low / Median / High Price $456.35 / $532.50 / $808.80	Professional		$456.35	$532.50	$808.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $627.02 / $793.70 / $933.80	Professional		$627.02	$793.70	$933.80