Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $498.32 / $576.64 / $576.64	Facility		$498.32	$576.64	$576.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $327.90 / $430.27 / $815.65	Professional		$327.90	$430.27	$815.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $460.00 / $460.00 / $753.42	Facility		$460.00	$460.00	$753.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $460.00 / $962.25 / $1,202.81	Professional		$460.00	$962.25	$1,202.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $651.91 / $829.91 / $1,204.49	Professional		$651.91	$829.91	$1,204.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $430.27 / $880.09 / $3,814.11	Facility		$430.27	$880.09	$3,814.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $327.44 / $386.05 / $935.82	Professional		$327.44	$386.05	$935.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $753.42 / $764.02 / $1,040.50	Facility		$753.42	$764.02	$1,040.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $617.05 / $890.41 / $1,439.79	Professional		$617.05	$890.41	$1,439.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $698.63 / $846.51 / $1,481.39	Professional		$698.63	$846.51	$1,481.39
United Facility/Professional Professional Modifier Low / Median / High Price $327.44 / $342.26 / $898.40	Professional		$327.44	$342.26	$898.40
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $671.23 / $671.23 / $671.23	Facility		$671.23	$671.23	$671.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $530.27 / $671.23 / $671.23	Professional		$530.27	$671.23	$671.23