Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $607.64 / $607.64 / $672.11	Facility		$607.64	$607.64	$672.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $359.91 / $525.25 / $959.62	Professional		$359.91	$525.25	$959.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $565.73 / $565.73 / $1,038.92	Facility		$565.73	$565.73	$1,038.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $565.73 / $1,014.00 / $1,267.50	Professional		$565.73	$1,014.00	$1,267.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $830.80 / $1,019.00 / $1,101.00	Professional		$830.80	$1,019.00	$1,101.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $593.30 / $1,087.52 / $4,661.22	Facility		$593.30	$1,087.52	$4,661.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $435.65 / $501.18 / $1,272.53	Professional		$435.65	$501.18	$1,272.53
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,035.88 / $1,038.92 / $1,328.53	Facility		$1,035.88	$1,038.92	$1,328.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $850.87 / $1,213.59 / $1,985.36	Professional		$850.87	$1,213.59	$1,985.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $892.02 / $963.36 / $1,685.88	Professional		$892.02	$963.36	$1,685.88
United Facility/Professional Professional Modifier Low / Median / High Price $432.40 / $471.19 / $1,211.65	Professional		$432.40	$471.19	$1,211.65
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $925.58 / $925.58 / $925.58	Facility		$925.58	$925.58	$925.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $731.21 / $925.58 / $925.58	Professional		$731.21	$925.58	$925.58