Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $738.07 / $738.07 / $6,054.79	Facility		$738.07	$738.07	$6,054.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $590.46 / $673.86 / $9,741.60	Professional		$590.46	$673.86	$9,741.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $631.73 / $1,052.88 / $1,445.53	Facility		$631.73	$1,052.88	$1,445.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $627.36 / $752.25 / $940.31	Professional		$627.36	$752.25	$940.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $595.99 / $799.18 / $1,269.11	Professional		$595.99	$799.18	$1,269.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $590.46 / $738.07 / $1,131.68	Facility		$590.46	$738.07	$1,131.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $615.05 / $615.05 / $1,230.11	Professional		$615.05	$615.05	$1,230.11
Midlands Facility/Professional Facility Modifier Low / Median / High Price $922.68 / $1,015.61 / $1,445.53	Facility		$922.68	$1,015.61	$1,445.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $657.55 / $657.55 / $657.55	Professional		$657.55	$657.55	$657.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $659.89 / $1,173.83 / $1,323.79	Professional		$659.89	$1,173.83	$1,323.79
United Facility/Professional Professional Modifier Low / Median / High Price $615.05 / $615.05 / $781.13	Professional		$615.05	$615.05	$781.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $485.90 / $615.05 / $615.05	Professional		$485.90	$615.05	$615.05