Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.93 / $300.72 / $552.04	Professional		$222.93	$300.72	$552.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.40 / $453.93 / $752.86	Professional		$237.40	$453.93	$752.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $272.00 / $420.71 / $774.41	Professional		$272.00	$420.71	$774.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $291.77 / $470.54 / $675.08	Facility		$291.77	$470.54	$675.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $266.45 / $465.28 / $1,893.50	Professional		$266.45	$465.28	$1,893.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $358.01 / $552.94 / $723.12	Facility		$358.01	$552.94	$723.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $335.21 / $541.91 / $723.12	Professional		$335.21	$541.91	$723.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $285.47 / $500.64 / $582.70	Professional		$285.47	$500.64	$582.70
United Facility/Professional Professional Modifier Low / Median / High Price $254.87 / $377.35 / $613.22	Professional		$254.87	$377.35	$613.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $428.42 / $542.29 / $663.50	Professional		$428.42	$542.29	$663.50