Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.92 / $701.27 / $701.27	Facility		$691.92	$701.27	$701.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $450.64 / $553.04 / $1,013.41	Professional		$450.64	$553.04	$1,013.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $632.51 / $632.51 / $1,012.91	Facility		$632.51	$632.51	$1,012.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $632.51 / $1,170.00 / $1,462.50	Professional		$632.51	$1,170.00	$1,462.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $874.79 / $1,015.94 / $1,117.63	Professional		$874.79	$1,015.94	$1,117.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $578.46 / $1,183.22 / $4,802.66	Facility		$578.46	$1,183.22	$4,802.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $440.21 / $519.00 / $1,258.11	Professional		$440.21	$519.00	$1,258.11
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,009.95 / $1,012.91 / $1,398.88	Facility		$1,009.95	$1,012.91	$1,398.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $829.57 / $1,197.08 / $1,935.65	Professional		$829.57	$1,197.08	$1,935.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $939.24 / $1,029.48 / $1,801.58	Professional		$939.24	$1,029.48	$1,801.58
United Facility/Professional Professional Modifier Low / Median / High Price $449.80 / $459.39 / $876.46	Professional		$449.80	$459.39	$876.46
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $902.41 / $902.41 / $902.41	Facility		$902.41	$902.41	$902.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $712.90 / $902.41 / $902.41	Professional		$712.90	$902.41	$902.41