Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $636.19 / $753.91 / $3,138.73	Professional		$636.19	$753.91	$3,138.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $754.05 / $1,466.39 / $2,067.30	Professional		$754.05	$1,466.39	$2,067.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $712.50 / $1,103.49 / $3,515.62	Professional		$712.50	$1,103.49	$3,515.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $692.33 / $1,148.00 / $1,847.15	Facility		$692.33	$1,148.00	$1,847.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $841.75 / $1,327.08 / $7,032.99	Professional		$841.75	$1,327.08	$7,032.99
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,107.71 / $1,462.52 / $2,038.22	Facility		$1,107.71	$1,462.52	$2,038.22
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,107.71 / $1,478.86 / $2,038.22	Professional		$1,107.71	$1,478.86	$2,038.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $699.29 / $1,248.23 / $1,417.50	Professional		$699.29	$1,248.23	$1,417.50
United Facility/Professional Professional Modifier Low / Median / High Price $801.80 / $1,102.05 / $1,792.24	Professional		$801.80	$1,102.05	$1,792.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,211.47 / $1,533.50 / $1,533.50	Professional		$1,211.47	$1,533.50	$1,533.50