Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $751.17 / $751.17 / $795.17	Facility		$751.17	$751.17	$795.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $434.25 / $580.04 / $970.79	Professional		$434.25	$580.04	$970.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $702.03 / $702.03 / $1,183.35	Facility		$702.03	$702.03	$1,183.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $702.03 / $1,253.25 / $1,566.56	Professional		$702.03	$1,253.25	$1,566.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,021.99 / $1,075.78 / $1,137.20	Professional		$1,021.99	$1,075.78	$1,137.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $675.81 / $1,276.99 / $5,034.28	Facility		$675.81	$1,276.99	$5,034.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $481.81 / $562.11 / $1,467.13	Professional		$481.81	$562.11	$1,467.13
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,179.91 / $1,183.35 / $1,467.13	Facility		$1,179.91	$1,183.35	$1,467.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $969.18 / $1,382.33 / $2,261.39	Professional		$969.18	$1,382.33	$2,261.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,081.08 / $1,157.84 / $1,958.68	Professional		$1,081.08	$1,157.84	$1,958.68
United Facility/Professional Professional Modifier Low / Median / High Price $477.51 / $536.70 / $1,265.74	Professional		$477.51	$536.70	$1,265.74
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,054.26 / $1,054.26 / $1,054.26	Facility		$1,054.26	$1,054.26	$1,054.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $832.87 / $1,054.26 / $1,054.26	Professional		$832.87	$1,054.26	$1,054.26