Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.60 / $300.63 / $420.53	Professional		$165.60	$300.63	$420.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.61 / $287.01 / $538.91	Professional		$229.61	$287.01	$538.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $227.46 / $243.41 / $294.66	Professional		$227.46	$243.41	$294.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $262.80 / $420.53 / $1,152.25	Facility		$262.80	$420.53	$1,152.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $305.27 / $516.21 / $1,852.75	Professional		$305.27	$516.21	$1,852.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $370.53 / $544.50 / $761.69	Facility		$370.53	$544.50	$761.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $321.86 / $544.50 / $730.38	Professional		$321.86	$544.50	$730.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $114.20 / $199.44 / $378.28	Professional		$114.20	$199.44	$378.28
United Facility/Professional Professional Modifier Low / Median / High Price $292.00 / $451.27 / $722.02	Professional		$292.00	$451.27	$722.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $181.31 / $229.50 / $270.00	Professional		$181.31	$229.50	$270.00