Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $642.66 / $642.66 / $642.66	Facility		$642.66	$642.66	$642.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $485.91 / $802.99 / $3,088.02	Professional		$485.91	$802.99	$3,088.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,561.44 / $1,608.28 / $1,655.13	Facility		$1,561.44	$1,608.28	$1,655.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,094.20 / $1,310.93 / $1,638.67	Professional		$1,094.20	$1,310.93	$1,638.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $501.28 / $711.76 / $1,395.24	Professional		$501.28	$711.76	$1,395.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $642.66 / $1,199.08 / $1,488.15	Facility		$642.66	$1,199.08	$1,488.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $550.16 / $765.51 / $1,901.67	Professional		$550.16	$765.51	$1,901.67
Midlands Facility/Professional Facility Modifier Low / Median / High Price $430.78 / $1,094.20 / $1,655.13	Facility		$430.78	$1,094.20	$1,655.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $732.07 / $1,095.75 / $1,472.42	Professional		$732.07	$1,095.75	$1,472.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $489.93 / $935.89	Professional		$257.04	$489.93	$935.89
United Facility/Professional Professional Modifier Low / Median / High Price $508.40 / $612.41 / $999.52	Professional		$508.40	$612.41	$999.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $820.34 / $1,038.40 / $1,221.59	Professional		$820.34	$1,038.40	$1,221.59