Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.96 / $246.17 / $992.64	Professional		$185.96	$246.17	$992.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.27 / $465.30 / $591.00	Professional		$220.27	$465.30	$591.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $205.24 / $305.30 / $678.36	Professional		$205.24	$305.30	$678.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $207.72 / $303.26 / $503.37	Facility		$207.72	$303.26	$503.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $290.62 / $503.37 / $1,279.01	Professional		$290.62	$503.37	$1,279.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $393.11 / $465.30 / $531.13	Facility		$393.11	$465.30	$531.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $402.42 / $472.31 / $542.78	Professional		$402.42	$472.31	$542.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $186.58 / $331.51 / $397.66	Professional		$186.58	$331.51	$397.66
United Facility/Professional Professional Modifier Low / Median / High Price $224.57 / $393.17 / $555.29	Professional		$224.57	$393.17	$555.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $326.82 / $413.70 / $486.70	Professional		$326.82	$413.70	$486.70