Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $481.52 / $481.52 / $509.71	Facility		$481.52	$481.52	$509.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $278.37 / $371.82 / $622.33	Professional		$278.37	$371.82	$622.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $386.84 / $386.84 / $758.55	Facility		$386.84	$386.84	$758.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $386.84 / $803.25 / $1,004.06	Professional		$386.84	$803.25	$1,004.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $655.11 / $689.59 / $720.50	Professional		$655.11	$689.59	$720.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $433.20 / $818.58 / $3,239.07	Facility		$433.20	$818.58	$3,239.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $308.85 / $356.95 / $940.49	Professional		$308.85	$356.95	$940.49
Midlands Facility/Professional Facility Modifier Low / Median / High Price $756.33 / $758.55 / $940.49	Facility		$756.33	$758.55	$940.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $621.25 / $886.09 / $1,449.58	Professional		$621.25	$886.09	$1,449.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $693.00 / $742.20 / $1,255.53	Professional		$693.00	$742.20	$1,255.53
United Facility/Professional Professional Modifier Low / Median / High Price $306.10 / $344.03 / $811.37	Professional		$306.10	$344.03	$811.37
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $675.80 / $675.80 / $675.80	Facility		$675.80	$675.80	$675.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $533.88 / $675.80 / $675.80	Professional		$533.88	$675.80	$675.80