Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.74 / $417.49 / $565.01	Professional		$322.74	$417.49	$565.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $382.30 / $677.54 / $967.17	Professional		$382.30	$677.54	$967.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $163.29 / $273.37 / $1,157.83	Professional		$163.29	$273.37	$1,157.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $431.53 / $702.00 / $964.89	Facility		$431.53	$702.00	$964.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $395.65 / $709.61 / $2,676.50	Professional		$395.65	$709.61	$2,676.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $531.80 / $745.07 / $1,009.98	Facility		$531.80	$745.07	$1,009.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $531.80 / $709.61 / $1,009.98	Professional		$531.80	$709.61	$1,009.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $433.80 / $475.00 / $553.90	Professional		$433.80	$475.00	$553.90
United Facility/Professional Professional Modifier Low / Median / High Price $378.44 / $550.46 / $925.47	Professional		$378.44	$550.46	$925.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $446.67 / $565.40 / $565.40	Professional		$446.67	$565.40	$565.40