Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $643.83 / $643.83 / $660.53	Facility		$643.83	$643.83	$660.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $347.67 / $503.98 / $749.48	Professional		$347.67	$503.98	$749.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.34 / $524.34 / $964.63	Facility		$524.34	$524.34	$964.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.34 / $1,074.38 / $1,342.97	Professional		$524.34	$1,074.38	$1,342.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $820.71 / $944.88 / $1,023.93	Professional		$820.71	$944.88	$1,023.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $550.90 / $1,116.57 / $4,501.32	Facility		$550.90	$1,116.57	$4,501.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $414.90 / $472.96 / $1,198.16	Professional		$414.90	$472.96	$1,198.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $961.82 / $964.63 / $1,274.79	Facility		$961.82	$964.63	$1,274.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $790.03 / $1,133.86 / $1,843.41	Professional		$790.03	$1,133.86	$1,843.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $894.48 / $957.99 / $1,654.00	Professional		$894.48	$957.99	$1,654.00
United Facility/Professional Professional Modifier Low / Median / High Price $414.90 / $437.50 / $1,097.57	Professional		$414.90	$437.50	$1,097.57
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $859.40 / $859.40 / $859.40	Facility		$859.40	$859.40	$859.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $678.93 / $859.40 / $859.40	Professional		$678.93	$859.40	$859.40