Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $756.38 / $873.87 / $3,192.24	Professional		$756.38	$873.87	$3,192.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.40 / $1,648.81 / $2,387.89	Professional		$870.40	$1,648.81	$2,387.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $822.97 / $1,231.89 / $4,947.08	Professional		$822.97	$1,231.89	$4,947.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $793.79 / $1,326.04 / $1,991.78	Facility		$793.79	$1,326.04	$1,991.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $980.98 / $1,449.67 / $8,114.99	Professional		$980.98	$1,449.67	$8,114.99
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,279.47 / $1,689.16 / $2,354.12	Facility		$1,279.47	$1,689.16	$2,354.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,279.47 / $1,708.34 / $2,354.12	Professional		$1,279.47	$1,708.34	$2,354.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $807.27 / $1,440.98 / $1,636.97	Professional		$807.27	$1,440.98	$1,636.97
United Facility/Professional Professional Modifier Low / Median / High Price $925.52 / $1,172.01 / $2,070.76	Professional		$925.52	$1,172.01	$2,070.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,399.33 / $1,771.30 / $1,771.30	Professional		$1,399.33	$1,771.30	$1,771.30