Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.30 / $352.07 / $455.32	Professional		$236.30	$352.07	$455.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $359.63 / $544.52 / $1,004.33	Professional		$359.63	$544.52	$1,004.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $179.72 / $186.49 / $240.64	Professional		$179.72	$186.49	$240.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $347.65 / $546.62 / $1,032.58	Facility		$347.65	$546.62	$1,032.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $251.35 / $283.23 / $3,418.79	Professional		$251.35	$283.23	$3,418.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $530.21 / $634.64 / $1,004.33	Facility		$530.21	$634.64	$1,004.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $532.79 / $744.03 / $1,004.33	Professional		$532.79	$744.03	$1,004.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $595.10 / $595.10 / $595.10	Professional		$595.10	$595.10	$595.10
United Facility/Professional Professional Modifier Low / Median / High Price $236.03 / $256.89 / $428.15	Professional		$236.03	$256.89	$428.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $590.91 / $748.00 / $748.00	Professional		$590.91	$748.00	$748.00