Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $405.35 / $407.68 / $407.68	Facility		$405.35	$407.68	$407.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.29 / $334.62 / $537.92	Professional		$229.29	$334.62	$537.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $372.88 / $372.88 / $671.13	Facility		$372.88	$372.88	$671.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $372.88 / $680.25 / $850.31	Professional		$372.88	$680.25	$850.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $544.91 / $641.20 / $694.85	Professional		$544.91	$641.20	$694.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $383.28 / $741.85 / $3,004.61	Facility		$383.28	$741.85	$3,004.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $277.95 / $321.24 / $833.61	Professional		$277.95	$321.24	$833.61
Midlands Facility/Professional Facility Modifier Low / Median / High Price $669.16 / $671.13 / $846.39	Facility		$669.16	$671.13	$846.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $549.66 / $783.97 / $1,282.52	Professional		$549.66	$783.97	$1,282.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $598.47 / $640.96 / $1,089.06	Professional		$598.47	$640.96	$1,089.06
United Facility/Professional Professional Modifier Low / Median / High Price $291.68 / $304.39 / $717.94	Professional		$291.68	$304.39	$717.94
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $597.91 / $597.91 / $597.91	Facility		$597.91	$597.91	$597.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $472.36 / $597.91 / $597.91	Professional		$472.36	$597.91	$597.91