Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $777.93 / $873.55 / $1,188.80	Professional		$777.93	$873.55	$1,188.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $938.81 / $1,850.13 / $2,326.98	Professional		$938.81	$1,850.13	$2,326.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $868.30 / $1,170.05 / $1,428.74	Professional		$868.30	$1,170.05	$1,428.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $836.13 / $1,200.69 / $2,326.98	Facility		$836.13	$1,200.69	$2,326.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,114.15 / $2,114.55 / $5,795.70	Professional		$1,114.15	$2,114.55	$5,795.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,612.74 / $1,951.83 / $2,406.30	Facility		$1,612.74	$1,951.83	$2,406.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,612.74 / $1,951.83 / $2,374.48	Professional		$1,612.74	$1,951.83	$2,374.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $576.27 / $612.13 / $1,292.30	Professional		$576.27	$612.13	$1,292.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,065.71 / $1,891.51 / $2,906.49	Professional		$1,065.71	$1,891.51	$2,906.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $419.17 / $530.60 / $530.60	Professional		$419.17	$530.60	$530.60