Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.27 / $223.72 / $284.04	Professional		$171.27	$223.72	$284.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.10 / $466.07 / $590.01	Professional		$220.10	$466.07	$590.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $204.75 / $305.07 / $683.03	Professional		$204.75	$305.07	$683.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $208.45 / $303.50 / $502.97	Facility		$208.45	$303.50	$502.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $292.92 / $502.97 / $1,286.14	Professional		$292.92	$502.97	$1,286.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $393.52 / $466.07 / $531.98	Facility		$393.52	$466.07	$531.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $402.20 / $475.44 / $542.37	Professional		$402.20	$475.44	$542.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $189.69 / $333.96 / $400.60	Professional		$189.69	$333.96	$400.60
United Facility/Professional Professional Modifier Low / Median / High Price $236.65 / $419.51 / $559.72	Professional		$236.65	$419.51	$559.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $326.82 / $413.70 / $486.70	Professional		$326.82	$413.70	$486.70