Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.93 / $236.89 / $315.00	Professional		$202.93	$236.89	$315.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.36 / $380.17 / $545.41	Professional		$217.36	$380.17	$545.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $450.33 / $497.97 / $602.80	Professional		$450.33	$497.97	$602.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $236.25 / $329.86 / $532.35	Facility		$236.25	$329.86	$532.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $246.58 / $426.74 / $1,392.79	Professional		$246.58	$426.74	$1,392.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $380.17 / $460.55 / $569.64	Facility		$380.17	$460.55	$569.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $370.14 / $460.55 / $563.73	Professional		$370.14	$460.55	$563.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $312.50 / $312.50 / $312.50	Professional		$312.50	$312.50	$312.50
United Facility/Professional Professional Modifier Low / Median / High Price $236.30 / $385.08 / $616.44	Professional		$236.30	$385.08	$616.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $123.64 / $156.50 / $156.50	Professional		$123.64	$156.50	$156.50