Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $579.42 / $579.42 / $612.73	Facility		$579.42	$579.42	$612.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.92 / $481.47 / $824.94	Professional		$329.92	$481.47	$824.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $544.74 / $544.74 / $1,054.00	Facility		$544.74	$544.74	$1,054.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $544.74 / $966.75 / $1,208.44	Professional		$544.74	$966.75	$1,208.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $792.23 / $965.20 / $1,239.75	Professional		$792.23	$965.20	$1,239.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $601.92 / $1,103.26 / $4,222.76	Facility		$601.92	$1,103.26	$4,222.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $399.93 / $493.97 / $1,245.63	Professional		$399.93	$493.97	$1,245.63
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,050.91 / $1,054.00 / $1,263.22	Facility		$1,050.91	$1,054.00	$1,263.22
Midlands Facility/Professional Professional Modifier Low / Median / High Price $849.05 / $1,217.81 / $2,014.18	Professional		$849.05	$1,217.81	$2,014.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $850.61 / $977.34 / $1,710.35	Professional		$850.61	$977.34	$1,710.35
United Facility/Professional Professional Modifier Low / Median / High Price $396.37 / $478.03 / $1,229.26	Professional		$396.37	$478.03	$1,229.26
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $939.02 / $939.02 / $939.02	Facility		$939.02	$939.02	$939.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $741.83 / $939.02 / $939.02	Professional		$741.83	$939.02	$939.02