Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $466.20 / $475.20 / $812.55	Facility		$466.20	$475.20	$812.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $376.30 / $379.37 / $1,452.80	Professional		$376.30	$379.37	$1,452.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $617.63 / $617.63 / $772.03	Professional		$617.63	$617.63	$772.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $910.40 / $964.10	Professional		$150.00	$910.40	$964.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $537.66 / $636.54 / $1,073.44	Facility		$537.66	$636.54	$1,073.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $520.75 / $520.75 / $940.37	Professional		$520.75	$520.75	$940.37
Midlands Facility/Professional Facility Modifier Low / Median / High Price $582.00 / $611.57 / $1,073.44	Facility		$582.00	$611.57	$1,073.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $504.48 / $659.97 / $1,073.44	Professional		$504.48	$659.97	$1,073.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $924.86 / $983.00 / $1,042.76	Professional		$924.86	$983.00	$1,042.76
United Facility/Professional Professional Modifier Low / Median / High Price $520.75 / $520.75 / $552.46	Professional		$520.75	$520.75	$552.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $331.84 / $420.05 / $420.05	Professional		$331.84	$420.05	$420.05