Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $311.02 / $356.33 / $504.65	Professional		$311.02	$356.33	$504.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $387.43 / $779.55 / $974.44	Professional		$387.43	$779.55	$974.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $366.47 / $494.08 / $913.30	Professional		$366.47	$494.08	$913.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $363.76 / $533.04 / $960.73	Facility		$363.76	$533.04	$960.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $454.54 / $845.83 / $2,332.12	Professional		$454.54	$845.83	$2,332.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $740.30 / $785.36 / $1,118.20	Facility		$740.30	$785.36	$1,118.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $740.30 / $785.36 / $980.36	Professional		$740.30	$785.36	$980.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $261.97 / $278.69 / $517.40	Professional		$261.97	$278.69	$517.40
United Facility/Professional Professional Modifier Low / Median / High Price $434.78 / $750.23 / $1,075.08	Professional		$434.78	$750.23	$1,075.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $246.01 / $311.39 / $311.39	Professional		$246.01	$311.39	$311.39