Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $820.56 / $943.75 / $1,231.73	Professional		$820.56	$943.75	$1,231.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $805.59 / $1,818.73 / $3,273.84	Professional		$805.59	$1,818.73	$3,273.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $835.68 / $1,111.43 / $3,566.45	Professional		$835.68	$1,111.43	$3,566.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,108.60 / $1,658.70 / $2,776.26	Facility		$1,108.60	$1,658.70	$2,776.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,110.80 / $1,984.36 / $5,839.98	Professional		$1,110.80	$1,984.36	$5,839.98
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,244.90 / $1,486.57 / $2,150.31	Facility		$1,244.90	$1,486.57	$2,150.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,244.90 / $1,667.67 / $2,457.23	Professional		$1,244.90	$1,667.67	$2,457.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,151.30 / $1,151.30 / $1,151.30	Professional		$1,151.30	$1,151.30	$1,151.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,018.24 / $1,689.26 / $2,647.42	Professional		$1,018.24	$1,689.26	$2,647.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,272.06 / $1,610.20 / $1,894.30	Professional		$1,272.06	$1,610.20	$1,894.30