Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.89 / $371.89 / $371.89	Facility		$371.89	$371.89	$371.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $554.23 / $914.28 / $3,567.08	Professional		$554.23	$914.28	$3,567.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,737.27 / $1,789.39 / $1,841.51	Facility		$1,737.27	$1,789.39	$1,841.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $938.06 / $1,478.48 / $1,848.11	Professional		$938.06	$1,478.48	$1,848.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $323.61 / $618.79 / $1,081.05	Professional		$323.61	$618.79	$1,081.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $1,152.86 / $1,609.13	Facility		$480.00	$1,152.86	$1,609.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $365.15 / $739.52 / $1,741.29	Professional		$365.15	$739.52	$1,741.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $1,029.63 / $1,841.51	Facility		$480.00	$1,029.63	$1,841.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $522.04 / $1,140.68 / $1,722.22	Professional		$522.04	$1,140.68	$1,722.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $92.53 / $589.77 / $1,161.21	Professional		$92.53	$589.77	$1,161.21
United Facility/Professional Professional Modifier Low / Median / High Price $531.00 / $723.71 / $1,091.22	Professional		$531.00	$723.71	$1,091.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $921.06 / $1,165.90 / $1,371.70	Professional		$921.06	$1,165.90	$1,371.70