Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $436.52	Facility		$426.58	$426.58	$436.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $331.13 / $446.68	Professional		$281.84	$331.13	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $691.83 / $831.76	Professional		$457.09	$691.83	$831.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $467.74 / $1,174.90	Professional		$316.23	$467.74	$1,174.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $478.63 / $794.33	Facility		$316.23	$478.63	$794.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $741.31 / $1,995.26	Professional		$416.87	$741.31	$1,995.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $776.25 / $831.76	Professional		$630.96	$776.25	$831.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $831.76 / $1,288.25	Professional		$741.31	$831.76	$1,288.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $512.86 / $724.44	Professional		$281.84	$512.86	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $549.54 / $870.96	Professional		$346.74	$549.54	$870.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $741.31	Professional		$630.96	$630.96	$741.31