Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $919.95 / $979.51 / $979.51	Facility		$919.95	$979.51	$979.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $552.51 / $755.89 / $1,298.45	Professional		$552.51	$755.89	$1,298.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $829.42 / $840.60 / $1,384.41	Facility		$829.42	$840.60	$1,384.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $840.60 / $1,634.25 / $2,042.81	Professional		$840.60	$1,634.25	$2,042.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,195.61 / $1,400.57 / $1,484.14	Professional		$1,195.61	$1,400.57	$1,484.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $790.61 / $1,617.17 / $6,648.31	Facility		$790.61	$1,617.17	$6,648.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $601.66 / $708.65 / $1,719.54	Professional		$601.66	$708.65	$1,719.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,380.35 / $1,384.41 / $1,911.93	Facility		$1,380.35	$1,384.41	$1,911.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,133.83 / $1,636.12 / $2,645.55	Professional		$1,133.83	$1,636.12	$2,645.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,283.72 / $1,437.92 / $2,516.37	Professional		$1,283.72	$1,437.92	$2,516.37
United Facility/Professional Professional Modifier Low / Median / High Price $614.78 / $627.88 / $1,197.90	Professional		$614.78	$627.88	$1,197.90
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,233.38 / $1,233.38 / $1,233.38	Facility		$1,233.38	$1,233.38	$1,233.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $974.37 / $1,233.38 / $1,233.38	Professional		$974.37	$1,233.38	$1,233.38