Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $404.65 / $560.21 / $753.27	Professional		$404.65	$560.21	$753.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $507.16 / $691.84 / $1,289.80	Professional		$507.16	$691.84	$1,289.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $463.03 / $730.12 / $1,140.24	Professional		$463.03	$730.12	$1,140.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $561.76 / $690.01 / $1,268.93	Facility		$561.76	$690.01	$1,268.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $445.01 / $759.59 / $3,895.19	Professional		$445.01	$759.59	$3,895.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $690.01 / $926.86 / $1,346.92	Facility		$690.01	$926.86	$1,346.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $564.41 / $922.39 / $1,346.92	Professional		$564.41	$922.39	$1,346.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $73.31 / $81.52 / $449.90	Professional		$73.31	$81.52	$449.90
United Facility/Professional Professional Modifier Low / Median / High Price $440.27 / $647.28 / $1,100.38	Professional		$440.27	$647.28	$1,100.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $496.38 / $628.33 / $628.33	Professional		$496.38	$628.33	$628.33