Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $784.56 / $836.53 / $836.53	Facility		$784.56	$836.53	$836.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $443.80 / $647.66 / $1,150.50	Professional		$443.80	$647.66	$1,150.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $711.81 / $711.81 / $1,326.44	Facility		$711.81	$711.81	$1,326.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $711.81 / $1,395.75 / $1,744.69	Professional		$711.81	$1,395.75	$1,744.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,010.92 / $1,095.49 / $1,205.84	Professional		$1,010.92	$1,095.49	$1,205.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $757.52 / $1,422.10 / $5,716.25	Facility		$757.52	$1,422.10	$5,716.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $537.98 / $621.77 / $1,638.21	Professional		$537.98	$621.77	$1,638.21
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,322.57 / $1,326.44 / $1,638.21	Facility		$1,322.57	$1,326.44	$1,638.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,086.34 / $1,549.46 / $2,534.80	Professional		$1,086.34	$1,549.46	$2,534.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,205.84 / $1,291.47 / $2,192.02	Professional		$1,205.84	$1,291.47	$2,192.02
United Facility/Professional Professional Modifier Low / Median / High Price $533.17 / $601.58 / $1,418.89	Professional		$533.17	$601.58	$1,418.89
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,181.73 / $1,181.73 / $1,181.73	Facility		$1,181.73	$1,181.73	$1,181.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $933.57 / $1,181.73 / $1,181.73	Professional		$933.57	$1,181.73	$1,181.73