Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.93 / $302.64 / $571.53	Professional		$222.93	$302.64	$571.53
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $122.09 / $148.12 / $201.68	Professional	52	$122.09	$148.12	$201.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.63 / $453.04 / $752.86	Professional		$234.63	$453.04	$752.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $272.00 / $407.36 / $769.52	Professional		$272.00	$407.36	$769.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $291.77 / $470.02 / $678.74	Facility		$291.77	$470.02	$678.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $266.08 / $464.37 / $1,893.50	Professional		$266.08	$464.37	$1,893.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $357.30 / $552.12 / $723.12	Facility		$357.30	$552.12	$723.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $333.29 / $536.87 / $723.12	Professional		$333.29	$536.87	$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 $254.51 / $377.35 / $629.33	Professional		$254.51	$377.35	$629.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $428.42 / $542.29 / $663.50	Professional		$428.42	$542.29	$663.50