Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.29 / $357.32 / $651.84	Professional		$270.29	$357.32	$651.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $294.56 / $540.73 / $907.27	Professional		$294.56	$540.73	$907.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $328.12 / $507.51 / $904.95	Professional		$328.12	$507.51	$904.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $352.24 / $581.55 / $815.81	Facility		$352.24	$581.55	$815.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $317.56 / $555.04 / $2,326.30	Professional		$317.56	$555.04	$2,326.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $426.68 / $670.16 / $871.64	Facility		$426.68	$670.16	$871.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $407.79 / $658.13 / $871.64	Professional		$407.79	$658.13	$871.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $344.48 / $603.94 / $702.42	Professional		$344.48	$603.94	$702.42
United Facility/Professional Professional Modifier Low / Median / High Price $303.75 / $441.82 / $730.83	Professional		$303.75	$441.82	$730.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $516.03 / $653.20 / $799.20	Professional		$516.03	$653.20	$799.20