Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $335.70 / $474.91 / $555.83	Professional		$335.70	$474.91	$555.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $432.23 / $918.10 / $1,154.14	Professional		$432.23	$918.10	$1,154.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $401.28 / $599.09 / $1,243.15	Professional		$401.28	$599.09	$1,243.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $408.23 / $594.54 / $984.15	Facility		$408.23	$594.54	$984.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $573.57 / $984.15 / $2,519.08	Professional		$573.57	$984.15	$2,519.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $770.40 / $918.10 / $1,045.25	Facility		$770.40	$918.10	$1,045.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $787.04 / $936.85 / $1,065.97	Professional		$787.04	$936.85	$1,065.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $371.59 / $651.35 / $787.02	Professional		$371.59	$651.35	$787.02
United Facility/Professional Professional Modifier Low / Median / High Price $443.20 / $749.41 / $1,095.92	Professional		$443.20	$749.41	$1,095.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $641.01 / $811.40 / $954.60	Professional		$641.01	$811.40	$954.60