Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $662.76 / $780.38 / $1,466.47	Professional		$662.76	$780.38	$1,466.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $659.46 / $1,228.21 / $1,948.89	Professional		$659.46	$1,228.21	$1,948.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $711.42 / $1,100.31 / $2,635.92	Professional		$711.42	$1,100.31	$2,635.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $782.12 / $1,393.03 / $1,778.76	Facility		$782.12	$1,393.03	$1,778.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $721.56 / $1,303.26 / $5,409.99	Professional		$721.56	$1,303.26	$5,409.99
Midlands Facility/Professional Facility Modifier Low / Median / High Price $971.30 / $1,492.43 / $1,894.50	Facility		$971.30	$1,492.43	$1,894.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $918.93 / $1,455.91 / $1,894.50	Professional		$918.93	$1,455.91	$1,894.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $733.54 / $1,309.36 / $1,506.88	Professional		$733.54	$1,309.36	$1,506.88
United Facility/Professional Professional Modifier Low / Median / High Price $674.70 / $1,003.90 / $1,660.58	Professional		$674.70	$1,003.90	$1,660.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,113.43 / $1,409.40 / $1,724.40	Professional		$1,113.43	$1,409.40	$1,724.40