Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $876.00 / $876.00 / $927.31	Facility		$876.00	$876.00	$927.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $506.44 / $676.44 / $1,132.16	Professional		$506.44	$676.44	$1,132.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.89 / $741.89 / $1,380.04	Facility		$741.89	$741.89	$1,380.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.89 / $1,461.75 / $1,827.19	Professional		$741.89	$1,461.75	$1,827.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,191.84 / $1,309.61 / $1,419.18	Professional		$1,191.84	$1,309.61	$1,419.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $788.13 / $1,489.20 / $5,871.01	Facility		$788.13	$1,489.20	$5,871.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $561.89 / $649.39 / $1,711.00	Professional		$561.89	$649.39	$1,711.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,376.00 / $1,380.04 / $1,711.00	Facility		$1,376.00	$1,380.04	$1,711.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,130.26 / $1,612.08 / $2,637.24	Professional		$1,130.26	$1,612.08	$2,637.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,260.75 / $1,350.26 / $2,284.21	Professional		$1,260.75	$1,350.26	$2,284.21
United Facility/Professional Professional Modifier Low / Median / High Price $556.88 / $625.90 / $1,476.20	Professional		$556.88	$625.90	$1,476.20
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,229.49 / $1,229.49 / $1,229.49	Facility		$1,229.49	$1,229.49	$1,229.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $971.30 / $1,229.49 / $1,229.49	Professional		$971.30	$1,229.49	$1,229.49