Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.80 / $299.74 / $330.00	Professional		$250.80	$299.74	$330.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $527.28 / $614.85 / $768.56	Professional		$527.28	$614.85	$768.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $168.54 / $234.12 / $2,855.46	Professional		$168.54	$234.12	$2,855.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $299.74 / $302.74 / $527.54	Facility		$299.74	$302.74	$527.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $320.66 / $320.66 / $320.66	Professional		$320.66	$320.66	$320.66
Midlands Facility/Professional Facility Modifier Low / Median / High Price $320.66 / $320.66 / $320.66	Facility		$320.66	$320.66	$320.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $320.66 / $320.66 / $320.66	Professional		$320.66	$320.66	$320.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,452.69 / $1,544.27 / $1,638.20	Professional		$1,452.69	$1,544.27	$1,638.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $189.76 / $240.20 / $282.60	Professional		$189.76	$240.20	$282.60