Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $327.36 / $381.61 / $1,520.63	Professional		$327.36	$381.61	$1,520.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $376.37 / $714.91 / $1,032.75	Professional		$376.37	$714.91	$1,032.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $356.10 / $532.91 / $2,410.91	Professional		$356.10	$532.91	$2,410.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $343.48 / $574.98 / $862.73	Facility		$343.48	$574.98	$862.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $424.80 / $628.01 / $3,516.49	Professional		$424.80	$628.01	$3,516.49
Midlands Facility/Professional Facility Modifier Low / Median / High Price $553.61 / $730.64 / $1,018.37	Facility		$553.61	$730.64	$1,018.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $553.61 / $740.08 / $1,018.37	Professional		$553.61	$740.08	$1,018.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $348.64 / $622.32 / $698.50	Professional		$348.64	$622.32	$698.50
United Facility/Professional Professional Modifier Low / Median / High Price $400.20 / $514.79 / $896.71	Professional		$400.20	$514.79	$896.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $605.46 / $766.40 / $766.40	Professional		$605.46	$766.40	$766.40