Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $686.51 / $686.51 / $726.72	Facility		$686.51	$686.51	$726.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $396.89 / $530.12 / $887.23	Professional		$396.89	$530.12	$887.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $551.53 / $551.53 / $1,081.49	Facility		$551.53	$551.53	$1,081.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $551.53 / $1,145.25 / $1,431.56	Professional		$551.53	$1,145.25	$1,431.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $934.01 / $983.98 / $1,033.75	Professional		$934.01	$983.98	$1,033.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $617.63 / $1,167.07 / $4,601.05	Facility		$617.63	$1,167.07	$4,601.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $436.42 / $506.84 / $1,343.30	Professional		$436.42	$506.84	$1,343.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,078.33 / $1,081.49 / $1,340.88	Facility		$1,078.33	$1,081.49	$1,340.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $885.73 / $1,263.33 / $2,066.71	Professional		$885.73	$1,263.33	$2,066.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $988.03 / $1,058.18 / $1,790.05	Professional		$988.03	$1,058.18	$1,790.05
United Facility/Professional Professional Modifier Low / Median / High Price $436.42 / $490.49 / $1,284.44	Professional		$436.42	$490.49	$1,284.44
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $934.01 / $934.01 / $934.01	Facility		$934.01	$934.01	$934.01
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $737.87 / $934.01 / $934.01	Professional		$737.87	$934.01	$934.01