Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $286.91 / $339.21 / $437.60	Professional		$286.91	$339.21	$437.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $339.76 / $725.27 / $907.40	Professional		$339.76	$725.27	$907.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $315.82 / $470.92 / $1,009.77	Professional		$315.82	$470.92	$1,009.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $321.02 / $466.94 / $770.18	Facility		$321.02	$466.94	$770.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $453.90 / $769.39 / $1,993.10	Professional		$453.90	$769.39	$1,993.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $601.36 / $725.27 / $826.85	Facility		$601.36	$725.27	$826.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $615.48 / $739.33 / $842.40	Professional		$615.48	$739.33	$842.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $291.83 / $512.49 / $619.61	Professional		$291.83	$512.49	$619.61
United Facility/Professional Professional Modifier Low / Median / High Price $350.74 / $636.41 / $867.27	Professional		$350.74	$636.41	$867.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $503.39 / $637.20 / $749.70	Professional		$503.39	$637.20	$749.70