Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $583.50 / $645.24 / $645.24	Facility		$583.50	$645.24	$645.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $356.95 / $481.70 / $769.48	Professional		$356.95	$481.70	$769.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.14 / $501.14 / $933.91	Facility		$501.14	$501.14	$933.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.14 / $1,076.63 / $1,345.78	Professional		$501.14	$1,076.63	$1,345.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $768.54 / $832.84 / $928.63	Professional		$768.54	$832.84	$928.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $533.35 / $1,090.94 / $4,303.54	Facility		$533.35	$1,090.94	$4,303.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $396.55 / $452.04 / $1,160.00	Professional		$396.55	$452.04	$1,160.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $931.18 / $933.91 / $1,218.38	Facility		$931.18	$933.91	$1,218.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $764.88 / $1,103.71 / $1,784.68	Professional		$764.88	$1,103.71	$1,784.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $865.99 / $947.20 / $1,657.60	Professional		$865.99	$947.20	$1,657.60
United Facility/Professional Professional Modifier Low / Median / High Price $396.55 / $423.56 / $1,113.61	Professional		$396.55	$423.56	$1,113.61
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $832.03 / $832.03 / $832.03	Facility		$832.03	$832.03	$832.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $657.30 / $832.03 / $832.03	Professional		$657.30	$832.03	$832.03