Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.07 / $294.33 / $389.52	Professional		$208.07	$294.33	$389.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.82 / $568.34 / $715.37	Professional		$267.82	$568.34	$715.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $248.78 / $371.21 / $812.17	Professional		$248.78	$371.21	$812.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $253.00 / $368.00 / $609.72	Facility		$253.00	$368.00	$609.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $355.36 / $609.72 / $1,560.85	Professional		$355.36	$609.72	$1,560.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $476.56 / $568.34 / $647.47	Facility		$476.56	$568.34	$647.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $487.42 / $579.29 / $659.56	Professional		$487.42	$579.29	$659.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $230.00 / $403.77 / $488.42	Professional		$230.00	$403.77	$488.42
United Facility/Professional Professional Modifier Low / Median / High Price $287.05 / $501.53 / $678.94	Professional		$287.05	$501.53	$678.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $396.90 / $502.40 / $591.10	Professional		$396.90	$502.40	$591.10