Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.13 / $102.95 / $123.35	Professional		$97.13	$102.95	$123.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $72.56 / $151.03 / $474.19	Professional		$72.56	$151.03	$474.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $173.15 / $304.86 / $2,489.36	Facility		$173.15	$304.86	$2,489.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $292.54 / $448.18 / $1,779.80	Professional		$292.54	$448.18	$1,779.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $173.15 / $230.32 / $698.37	Facility		$173.15	$230.32	$698.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $173.15 / $239.47 / $692.62	Professional		$173.15	$239.47	$692.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $74.59 / $704.06 / $762.30	Professional		$74.59	$704.06	$762.30
United Facility/Professional Professional Modifier Low / Median / High Price $355.88 / $448.18 / $794.38	Professional		$355.88	$448.18	$794.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $227.04 / $287.39 / $287.39	Professional		$227.04	$287.39	$287.39