Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $277.67 / $394.92 / $595.27	Professional		$277.67	$394.92	$595.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $545.19 / $749.47 / $923.56	Professional		$545.19	$749.47	$923.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $277.51 / $476.50 / $842.48	Professional		$277.51	$476.50	$842.48
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $989.74 / $989.74 / $989.74	Facility	54	$989.74	$989.74	$989.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $340.32 / $661.70 / $2,261.92	Professional		$340.32	$661.70	$2,261.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $512.00 / $715.17 / $923.56	Professional		$512.00	$715.17	$923.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $269.32 / $491.54 / $676.00	Professional		$269.32	$491.54	$676.00
United Facility/Professional Professional Modifier Low / Median / High Price $324.18 / $493.98 / $916.50	Professional		$324.18	$493.98	$916.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $534.36 / $676.40 / $795.80	Professional		$534.36	$676.40	$795.80