Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $479.65 / $529.02 / $529.02	Facility		$479.65	$529.02	$529.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $294.19 / $392.74 / $584.04	Professional		$294.19	$392.74	$584.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $408.60 / $408.60 / $759.89	Facility		$408.60	$408.60	$759.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $408.60 / $882.75 / $1,103.44	Professional		$408.60	$882.75	$1,103.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $647.16 / $727.30 / $770.70	Professional		$647.16	$727.30	$770.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $433.96 / $887.65 / $3,518.89	Facility		$433.96	$887.65	$3,518.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $323.32 / $368.57 / $943.84	Professional		$323.32	$368.57	$943.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $757.66 / $759.89 / $993.39	Facility		$757.66	$759.89	$993.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $622.36 / $898.05 / $1,452.12	Professional		$622.36	$898.05	$1,452.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $704.63 / $776.59 / $1,359.03	Professional		$704.63	$776.59	$1,359.03
United Facility/Professional Professional Modifier Low / Median / High Price $323.32 / $344.63 / $812.88	Professional		$323.32	$344.63	$812.88
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $676.99 / $676.99 / $676.99	Facility		$676.99	$676.99	$676.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $534.82 / $676.99 / $676.99	Professional		$534.82	$676.99	$676.99