Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.24 / $426.59 / $580.67	Professional		$389.24	$426.59	$580.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.67 / $986.83 / $1,233.54	Professional		$457.67	$986.83	$1,233.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $463.25 / $624.65 / $2,550.62	Professional		$463.25	$624.65	$2,550.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $421.14 / $609.71 / $1,134.73	Facility		$421.14	$609.71	$1,134.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $498.12 / $986.62 / $2,830.35	Professional		$498.12	$986.62	$2,830.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $874.35 / $986.62 / $1,157.90	Facility		$874.35	$986.62	$1,157.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $874.35 / $986.62 / $1,157.90	Professional		$874.35	$986.62	$1,157.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $646.79 / $881.04 / $953.76	Professional		$646.79	$881.04	$953.76
United Facility/Professional Professional Modifier Low / Median / High Price $477.37 / $906.86 / $1,139.45	Professional		$477.37	$906.86	$1,139.45
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $246.01 / $311.39 / $311.39	Professional		$246.01	$311.39	$311.39