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 / $387.62 / $622.33	Professional		$278.37	$387.62	$622.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $437.50 / $437.50 / $758.55	Facility		$437.50	$437.50	$758.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $437.50 / $803.25 / $1,004.06	Professional		$437.50	$803.25	$1,004.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $658.35 / $769.51 / $831.44	Professional		$658.35	$769.51	$831.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $453.43 / $814.16 / $3,239.07	Facility		$453.43	$814.16	$3,239.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $308.85 / $363.40 / $942.18	Professional		$308.85	$363.40	$942.18
Midlands Facility/Professional Facility Modifier Low / Median / High Price $758.55 / $758.55 / $940.49	Facility		$758.55	$758.55	$940.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $756.33 / $896.47 / $1,449.58	Professional		$756.33	$896.47	$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 / $900.90	Professional		$306.10	$344.03	$900.90
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