Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $471.08 / $471.08 / $498.65	Facility		$471.08	$471.08	$498.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $272.33 / $363.75 / $608.79	Professional		$272.33	$363.75	$608.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $419.48 / $419.48 / $742.04	Facility		$419.48	$419.48	$742.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $419.48 / $786.00 / $982.50	Professional		$419.48	$786.00	$982.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $640.85 / $681.64 / $945.56	Professional		$640.85	$681.64	$945.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $423.77 / $800.84 / $3,157.08	Facility		$423.77	$800.84	$3,157.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $302.14 / $349.20 / $920.06	Professional		$302.14	$349.20	$920.06
Midlands Facility/Professional Facility Modifier Low / Median / High Price $739.88 / $742.04 / $920.06	Facility		$739.88	$742.04	$920.06
Midlands Facility/Professional Professional Modifier Low / Median / High Price $607.74 / $866.81 / $1,418.04	Professional		$607.74	$866.81	$1,418.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $677.99 / $726.13 / $1,228.20	Professional		$677.99	$726.13	$1,228.20
United Facility/Professional Professional Modifier Low / Median / High Price $299.45 / $336.55 / $881.39	Professional		$299.45	$336.55	$881.39
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $661.09 / $661.09 / $661.09	Facility		$661.09	$661.09	$661.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $522.26 / $661.09 / $661.09	Professional		$522.26	$661.09	$661.09