Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.56 / $426.56 / $426.56	Facility		$426.56	$426.56	$426.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $368.46 / $609.28 / $2,338.10	Professional		$368.46	$609.28	$2,338.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,169.93 / $1,205.03 / $1,240.13	Facility		$1,169.93	$1,205.03	$1,240.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $830.24 / $998.33 / $1,247.91	Professional		$830.24	$998.33	$1,247.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $378.98 / $529.66 / $1,068.72	Professional		$378.98	$529.66	$1,068.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $463.02 / $911.59 / $1,440.20	Facility		$463.02	$911.59	$1,440.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $397.93 / $576.12 / $1,447.76	Professional		$397.93	$576.12	$1,447.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $374.17 / $830.24 / $1,240.13	Facility		$374.17	$830.24	$1,240.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $517.00 / $871.03 / $1,086.46	Professional		$517.00	$871.03	$1,086.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $198.56 / $369.87 / $708.72	Professional		$198.56	$369.87	$708.72
United Facility/Professional Professional Modifier Low / Median / High Price $412.34 / $460.90 / $741.27	Professional		$412.34	$460.90	$741.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $623.63 / $789.40 / $928.70	Professional		$623.63	$789.40	$928.70