Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $622.28 / $845.17 / $959.76	Professional		$622.28	$845.17	$959.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $744.71 / $1,478.85 / $1,848.56	Professional		$744.71	$1,478.85	$1,848.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $694.01 / $935.48 / $2,444.92	Professional		$694.01	$935.48	$2,444.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $691.89 / $1,007.75 / $1,846.36	Facility		$691.89	$1,007.75	$1,846.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $873.86 / $1,691.29 / $4,680.93	Professional		$873.86	$1,691.29	$4,680.93
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,404.02 / $1,576.45 / $2,094.88	Facility		$1,404.02	$1,576.45	$2,094.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,404.02 / $1,576.45 / $1,884.07	Professional		$1,404.02	$1,576.45	$1,884.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,033.59 / $1,898.22 / $2,055.07	Professional		$1,033.59	$1,898.22	$2,055.07
United Facility/Professional Professional Modifier Low / Median / High Price $835.87 / $1,489.95 / $2,066.87	Professional		$835.87	$1,489.95	$2,066.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $419.17 / $530.60 / $530.60	Professional		$419.17	$530.60	$530.60