Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.87 / $357.16 / $542.74	Professional		$316.87	$357.16	$542.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $315.08 / $596.50 / $892.44	Professional		$315.08	$596.50	$892.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $322.47 / $498.32 / $846.38	Professional		$322.47	$498.32	$846.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $372.28 / $619.54 / $857.49	Facility		$372.28	$619.54	$857.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $340.74 / $622.29 / $2,488.60	Professional		$340.74	$622.29	$2,488.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $478.58 / $735.64 / $857.49	Facility		$478.58	$735.64	$857.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $445.55 / $659.59 / $857.49	Professional		$445.55	$659.59	$857.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $332.21 / $592.99 / $689.08	Professional		$332.21	$592.99	$689.08
United Facility/Professional Professional Modifier Low / Median / High Price $340.74 / $495.62 / $819.81	Professional		$340.74	$495.62	$819.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $507.26 / $642.10 / $785.70	Professional		$507.26	$642.10	$785.70