Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.17 / $336.83 / $1,173.21	Professional		$281.17	$336.83	$1,173.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $320.29 / $636.22 / $905.25	Professional		$320.29	$636.22	$905.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $312.38 / $467.84 / $2,061.78	Professional		$312.38	$467.84	$2,061.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $301.08 / $500.54 / $783.41	Facility		$301.08	$500.54	$783.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $369.46 / $548.69 / $5,713.05	Professional		$369.46	$548.69	$5,713.05
Midlands Facility/Professional Facility Modifier Low / Median / High Price $485.69 / $640.16 / $892.30	Facility		$485.69	$640.16	$892.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $485.69 / $646.59 / $892.30	Professional		$485.69	$646.59	$892.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $306.06 / $549.94 / $621.77	Professional		$306.06	$549.94	$621.77
United Facility/Professional Professional Modifier Low / Median / High Price $355.48 / $459.48 / $786.11	Professional		$355.48	$459.48	$786.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $531.20 / $672.40 / $672.40	Professional		$531.20	$672.40	$672.40