Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $703.06 / $703.06 / $744.27	Facility		$703.06	$703.06	$744.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $406.45 / $542.91 / $917.57	Professional		$406.45	$542.91	$917.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $710.11 / $710.11 / $1,107.58	Facility		$710.11	$710.11	$1,107.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $946.32 / $1,173.00 / $1,466.25	Professional		$946.32	$1,173.00	$1,466.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $956.56 / $1,106.42 / $1,198.98	Professional		$956.56	$1,106.42	$1,198.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $632.53 / $1,195.20 / $4,711.96	Facility		$632.53	$1,195.20	$4,711.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $450.97 / $534.30 / $1,373.21	Professional		$450.97	$534.30	$1,373.21
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,104.34 / $1,107.58 / $1,373.21	Facility		$1,104.34	$1,107.58	$1,373.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $907.13 / $1,293.81 / $2,116.58	Professional		$907.13	$1,293.81	$2,116.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,011.85 / $1,083.69 / $1,833.27	Professional		$1,011.85	$1,083.69	$1,833.27
United Facility/Professional Professional Modifier Low / Median / High Price $446.94 / $502.33 / $1,184.69	Professional		$446.94	$502.33	$1,184.69
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $986.76 / $986.76 / $986.76	Facility		$986.76	$986.76	$986.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $779.54 / $986.76 / $986.76	Professional		$779.54	$986.76	$986.76