Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $589.46 / $607.66 / $607.66	Facility		$589.46	$607.66	$607.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $333.74 / $486.62 / $811.63	Professional		$333.74	$486.62	$811.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $510.00 / $510.00 / $976.82	Facility		$510.00	$510.00	$976.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $510.00 / $1,014.00 / $1,267.50	Professional		$510.00	$1,014.00	$1,267.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $792.18 / $897.30 / $972.00	Professional		$792.18	$897.30	$972.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $557.85 / $1,076.61 / $4,248.13	Facility		$557.85	$1,076.61	$4,248.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $404.20 / $467.15 / $1,213.29	Professional		$404.20	$467.15	$1,213.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $973.96 / $976.82 / $1,230.81	Facility		$973.96	$976.82	$1,230.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $800.02 / $1,141.06 / $1,866.66	Professional		$800.02	$1,141.06	$1,866.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $888.02 / $951.07 / $1,592.31	Professional		$888.02	$951.07	$1,592.31
United Facility/Professional Professional Modifier Low / Median / High Price $400.60 / $443.02 / $1,044.83	Professional		$400.60	$443.02	$1,044.83
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $843.62 / $843.62 / $843.62	Facility		$843.62	$843.62	$843.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $666.46 / $843.62 / $843.62	Professional		$666.46	$843.62	$843.62