Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $962.44 / $962.44 / $997.26	Facility		$962.44	$962.44	$997.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $498.72 / $722.95 / $1,075.08	Professional		$498.72	$722.95	$1,075.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $752.15 / $752.15 / $1,324.08	Facility		$752.15	$752.15	$1,324.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,295.43 / $1,605.75 / $2,007.19	Professional		$1,295.43	$1,605.75	$2,007.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,143.52 / $1,300.82 / $1,385.15	Professional		$1,143.52	$1,300.82	$1,385.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $756.17 / $1,546.71 / $6,344.91	Facility		$756.17	$1,546.71	$6,344.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $575.45 / $678.45 / $1,644.61	Professional		$575.45	$678.45	$1,644.61
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,320.21 / $1,324.08 / $1,828.61	Facility		$1,320.21	$1,324.08	$1,828.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,168.43 / $1,564.82 / $2,530.27	Professional		$1,168.43	$1,564.82	$2,530.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,227.78 / $1,412.85 / $2,472.48	Professional		$1,227.78	$1,412.85	$2,472.48
United Facility/Professional Professional Modifier Low / Median / High Price $587.99 / $601.50 / $1,578.86	Professional		$587.99	$601.50	$1,578.86
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,179.64 / $1,179.64 / $1,179.64	Facility		$1,179.64	$1,179.64	$1,179.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $931.92 / $1,179.64 / $1,179.64	Professional		$931.92	$1,179.64	$1,179.64