Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.62 / $207.37 / $759.05	Professional		$185.62	$207.37	$759.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.82 / $431.16 / $620.19	Professional		$225.82	$431.16	$620.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $213.48 / $330.63 / $907.50	Professional		$213.48	$330.63	$907.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $205.84 / $349.65 / $512.95	Facility		$205.84	$349.65	$512.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $254.43 / $401.91 / $2,055.80	Professional		$254.43	$401.91	$2,055.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $331.88 / $438.12 / $610.94	Facility		$331.88	$438.12	$610.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $331.88 / $438.12 / $610.94	Professional		$331.88	$438.12	$610.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $289.30 / $478.30 / $690.30	Professional		$289.30	$478.30	$690.30
United Facility/Professional Professional Modifier Low / Median / High Price $242.87 / $323.45 / $537.08	Professional		$242.87	$323.45	$537.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $362.93 / $459.40 / $459.40	Professional		$362.93	$459.40	$459.40