Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $229.09 / $467.74	Professional		$177.83	$229.09	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $467.74 / $549.54	Professional		$446.68	$467.74	$549.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $331.13 / $616.60	Professional		$165.96	$331.13	$616.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $371.54 / $1,412.54	Professional		$213.80	$371.54	$1,412.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $467.74 / $691.83	Professional		$407.38	$467.74	$691.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $524.81 / $524.81	Professional		$389.05	$524.81	$524.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $416.87 / $512.86	Professional		$5.01	$416.87	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $302.00 / $562.34	Professional		$199.53	$302.00	$562.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $407.38	Professional		$346.74	$346.74	$407.38