Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $919.14 / $1,084.56 / $1,084.56	Facility		$919.14	$1,084.56	$1,084.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $519.91 / $834.64 / $1,487.35	Professional		$519.91	$834.64	$1,487.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $906.54 / $906.54 / $1,570.79	Facility		$906.54	$906.54	$1,570.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $906.54 / $1,809.75 / $2,262.19	Professional		$906.54	$1,809.75	$2,262.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,356.59 / $1,560.91 / $1,651.50	Professional		$1,356.59	$1,560.91	$1,651.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $897.06 / $1,834.89 / $6,665.91	Facility		$897.06	$1,834.89	$6,665.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $630.26 / $736.16 / $1,951.05	Professional		$630.26	$736.16	$1,951.05
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,566.19 / $1,570.79 / $1,919.21	Facility		$1,566.19	$1,570.79	$1,919.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,286.48 / $1,834.89 / $3,001.75	Professional		$1,286.48	$1,834.89	$3,001.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,456.55 / $1,592.13 / $2,786.22	Professional		$1,456.55	$1,592.13	$2,786.22
United Facility/Professional Professional Modifier Low / Median / High Price $624.64 / $712.41 / $1,680.24	Professional		$624.64	$712.41	$1,680.24
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,399.43 / $1,399.43 / $1,399.43	Facility		$1,399.43	$1,399.43	$1,399.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,105.55 / $1,399.43 / $1,399.43	Professional		$1,105.55	$1,399.43	$1,399.43