Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.28 / $208.28 / $708.00	Professional		$166.28	$208.28	$708.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.21 / $344.59 / $522.54	Professional		$171.21	$344.59	$522.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $187.37 / $289.07 / $608.59	Professional		$187.37	$289.07	$608.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $210.17 / $361.04 / $468.48	Facility		$210.17	$361.04	$468.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $196.31 / $356.92 / $1,352.50	Professional		$196.31	$356.92	$1,352.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $271.00 / $426.55 / $497.99	Facility		$271.00	$426.55	$497.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $250.38 / $383.26 / $497.99	Professional		$250.38	$383.26	$497.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $195.89 / $343.99 / $401.28	Professional		$195.89	$343.99	$401.28
United Facility/Professional Professional Modifier Low / Median / High Price $188.75 / $285.54 / $472.31	Professional		$188.75	$285.54	$472.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $296.01 / $374.70 / $458.40	Professional		$296.01	$374.70	$458.40