Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $747.03 / $747.03 / $790.78	Facility		$747.03	$747.03	$790.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $431.88 / $576.86 / $965.49	Professional		$431.88	$576.86	$965.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $731.38 / $731.38 / $1,176.91	Facility		$731.38	$731.38	$1,176.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $731.38 / $1,246.50 / $1,558.13	Professional		$731.38	$1,246.50	$1,558.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,016.42 / $1,075.14 / $1,143.93	Professional		$1,016.42	$1,075.14	$1,143.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $672.12 / $1,269.95 / $5,006.71	Facility		$672.12	$1,269.95	$5,006.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $479.17 / $553.79 / $1,459.11	Professional		$479.17	$553.79	$1,459.11
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,173.46 / $1,176.91 / $1,459.11	Facility		$1,173.46	$1,176.91	$1,459.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $963.88 / $1,374.79 / $2,249.02	Professional		$963.88	$1,374.79	$2,249.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,075.14 / $1,151.47 / $1,948.01	Professional		$1,075.14	$1,151.47	$1,948.01
United Facility/Professional Professional Modifier Low / Median / High Price $474.89 / $533.77 / $1,397.68	Professional		$474.89	$533.77	$1,397.68
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,048.52 / $1,048.52 / $1,048.52	Facility		$1,048.52	$1,048.52	$1,048.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $828.33 / $1,048.52 / $1,048.52	Professional		$828.33	$1,048.52	$1,048.52