Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $606.57 / $840.96 / $1,129.78	Professional		$606.57	$840.96	$1,129.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $752.79 / $1,038.04 / $1,936.18	Professional		$752.79	$1,038.04	$1,936.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $618.39 / $1,102.48 / $1,465.77	Professional		$618.39	$1,102.48	$1,465.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $702.74 / $1,035.66 / $1,903.84	Facility		$702.74	$1,035.66	$1,903.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $544.73 / $1,036.93 / $5,352.44	Professional		$544.73	$1,036.93	$5,352.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,035.66 / $1,390.04 / $2,022.04	Facility		$1,035.66	$1,390.04	$2,022.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $846.43 / $1,383.33 / $2,022.04	Professional		$846.43	$1,383.33	$2,022.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $571.60 / $675.10 / $1,107.80	Professional		$571.60	$675.10	$1,107.80
United Facility/Professional Professional Modifier Low / Median / High Price $497.36 / $757.89 / $1,288.41	Professional		$497.36	$757.89	$1,288.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $728.60 / $922.28 / $922.28	Professional		$728.60	$922.28	$922.28