Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $477.48 / $538.45 / $717.16	Professional		$477.48	$538.45	$717.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $471.53 / $893.22 / $1,317.29	Professional		$471.53	$893.22	$1,317.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $479.54 / $741.78 / $1,743.79	Professional		$479.54	$741.78	$1,743.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $557.58 / $1,004.01 / $1,280.88	Facility		$557.58	$1,004.01	$1,280.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $513.38 / $959.38 / $3,786.99	Professional		$513.38	$959.38	$3,786.99
Midlands Facility/Professional Facility Modifier Low / Median / High Price $717.79 / $1,102.60 / $1,280.88	Facility		$717.79	$1,102.60	$1,280.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $665.00 / $984.52 / $1,280.88	Professional		$665.00	$984.52	$1,280.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $503.87 / $899.41 / $1,013.39	Professional		$503.87	$899.41	$1,013.39
United Facility/Professional Professional Modifier Low / Median / High Price $487.93 / $741.55 / $1,236.48	Professional		$487.93	$741.55	$1,236.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $751.69 / $951.50 / $1,164.20	Professional		$751.69	$951.50	$1,164.20