Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $525.27 / $525.27 / $525.27	Facility		$525.27	$525.27	$525.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $592.16 / $991.23 / $4,008.92	Professional		$592.16	$991.23	$4,008.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,105.48 / $2,168.64 / $2,231.81	Facility		$2,105.48	$2,168.64	$2,231.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $987.28 / $1,597.94 / $1,997.43	Professional		$987.28	$1,597.94	$1,997.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $318.33 / $774.12 / $2,625.98	Professional		$318.33	$774.12	$2,625.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $525.27 / $1,438.18 / $2,559.40	Facility		$525.27	$1,438.18	$2,559.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $491.81 / $951.12 / $2,155.65	Professional		$491.81	$951.12	$2,155.65
Midlands Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,325.59 / $2,231.81	Facility		$500.00	$1,325.59	$2,231.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $688.88 / $1,466.60 / $1,932.63	Professional		$688.88	$1,466.60	$1,932.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $69.59 / $606.66 / $1,109.22	Professional		$69.59	$606.66	$1,109.22
United Facility/Professional Professional Modifier Low / Median / High Price $634.08 / $825.70 / $1,257.26	Professional		$634.08	$825.70	$1,257.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $983.87 / $1,245.40 / $1,465.20	Professional		$983.87	$1,245.40	$1,465.20