Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.77 / $222.17 / $1,057.25	Professional		$172.77	$222.17	$1,057.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.14 / $441.78 / $563.14	Professional		$301.14	$441.78	$563.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $191.82 / $256.64 / $1,061.91	Professional		$191.82	$256.64	$1,061.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $236.99 / $472.42 / $1,775.00	Facility		$236.99	$472.42	$1,775.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $212.03 / $448.91 / $1,248.85	Professional		$212.03	$448.91	$1,248.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $328.27 / $448.91 / $554.53	Facility		$328.27	$448.91	$554.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $328.27 / $448.91 / $554.53	Professional		$328.27	$448.91	$554.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $49.63 / $174.38 / $337.94	Professional		$49.63	$174.38	$337.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,341.00 / $1,775.00 / $16,822.00	Facility		$1,341.00	$1,775.00	$16,822.00
United Facility/Professional Professional Modifier Low / Median / High Price $202.39 / $348.93 / $558.98	Professional		$202.39	$348.93	$558.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $298.38 / $377.70 / $444.30	Professional		$298.38	$377.70	$444.30