Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $557.29 / $659.87 / $659.87	Facility		$557.29	$659.87	$659.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $315.24 / $481.19 / $684.14	Professional		$315.24	$481.19	$684.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.80 / $550.80 / $842.59	Facility		$550.80	$550.80	$842.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $550.80 / $1,101.00 / $1,376.25	Professional		$550.80	$1,101.00	$1,376.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $729.08 / $907.14 / $961.27	Professional		$729.08	$907.14	$961.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $481.19 / $984.26 / $4,148.45	Facility		$481.19	$984.26	$4,148.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $366.19 / $431.73 / $1,046.57	Professional		$366.19	$431.73	$1,046.57
Midlands Facility/Professional Facility Modifier Low / Median / High Price $840.12 / $842.59 / $1,163.64	Facility		$840.12	$842.59	$1,163.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $690.08 / $986.45 / $1,610.19	Professional		$690.08	$986.45	$1,610.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $781.31 / $968.68 / $1,695.20	Professional		$781.31	$968.68	$1,695.20
United Facility/Professional Professional Modifier Low / Median / High Price $366.19 / $382.15 / $949.69	Professional		$366.19	$382.15	$949.69
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $750.67 / $750.67 / $750.67	Facility		$750.67	$750.67	$750.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $593.03 / $750.67 / $750.67	Professional		$593.03	$750.67	$750.67