Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.46 / $310.19 / $880.00	Professional		$214.46	$310.19	$880.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $294.48 / $468.99 / $586.24	Professional		$294.48	$468.99	$586.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $190.18 / $283.57 / $671.39	Professional		$190.18	$283.57	$671.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $252.48 / $418.76 / $1,640.00	Facility		$252.48	$418.76	$1,640.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $228.44 / $369.47 / $919.11	Professional		$228.44	$369.47	$919.11
Midlands Facility/Professional Facility Modifier Low / Median / High Price $356.76 / $395.75 / $544.62	Facility		$356.76	$395.75	$544.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $331.67 / $395.75 / $619.71	Professional		$331.67	$395.75	$619.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $197.22 / $352.04 / $398.93	Professional		$197.22	$352.04	$398.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,151.00 / $1,775.00 / $3,560.25	Facility		$1,151.00	$1,775.00	$3,560.25
United Facility/Professional Professional Modifier Low / Median / High Price $218.50 / $317.82 / $525.72	Professional		$218.50	$317.82	$525.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $260.31 / $329.50 / $387.70	Professional		$260.31	$329.50	$387.70