Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $456.49 / $514.69 / $687.49	Professional		$456.49	$514.69	$687.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $447.88 / $848.89 / $1,268.43	Professional		$447.88	$848.89	$1,268.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $461.55 / $714.18 / $1,469.29	Professional		$461.55	$714.18	$1,469.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $534.74 / $899.92 / $1,161.85	Facility		$534.74	$899.92	$1,161.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $494.50 / $914.60 / $3,624.69	Professional		$494.50	$914.60	$3,624.69
Midlands Facility/Professional Facility Modifier Low / Median / High Price $683.47 / $1,050.77 / $1,229.66	Facility		$683.47	$1,050.77	$1,229.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $633.95 / $945.29 / $1,229.66	Professional		$633.95	$945.29	$1,229.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $485.19 / $866.06 / $976.30	Professional		$485.19	$866.06	$976.30
United Facility/Professional Professional Modifier Low / Median / High Price $487.12 / $708.54 / $1,204.52	Professional		$487.12	$708.54	$1,204.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $723.96 / $916.40 / $1,121.20	Professional		$723.96	$916.40	$1,121.20