Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $454.33 / $518.94 / $518.94	Facility		$454.33	$518.94	$518.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $272.64 / $383.88 / $557.74	Professional		$272.64	$383.88	$557.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $523.66 / $523.66 / $686.91	Facility		$523.66	$523.66	$686.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $674.80 / $865.88 / $1,082.33	Professional		$674.80	$865.88	$1,082.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $594.37 / $746.86 / $966.75	Professional		$594.37	$746.86	$966.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $392.28 / $802.40 / $3,359.73	Facility		$392.28	$802.40	$3,359.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $298.52 / $354.65 / $853.20	Professional		$298.52	$354.65	$853.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $684.89 / $686.91 / $948.65	Facility		$684.89	$686.91	$948.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $562.57 / $811.80 / $1,312.65	Professional		$562.57	$811.80	$1,312.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $636.95 / $761.80 / $1,333.15	Professional		$636.95	$761.80	$1,333.15
United Facility/Professional Professional Modifier Low / Median / High Price $298.52 / $311.54 / $819.09	Professional		$298.52	$311.54	$819.09
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $611.97 / $611.97 / $611.97	Facility		$611.97	$611.97	$611.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $483.46 / $611.97 / $611.97	Professional		$483.46	$611.97	$611.97