Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.60 / $314.73 / $432.23	Professional		$216.60	$314.73	$432.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $418.11 / $592.42 / $1,094.85	Professional		$418.11	$592.42	$1,094.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $375.41 / $479.58 / $809.47	Professional		$375.41	$479.58	$809.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $288.79 / $458.33 / $953.58	Facility		$288.79	$458.33	$953.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $454.55 / $875.50 / $2,438.17	Professional		$454.55	$875.50	$2,438.17
Midlands Facility/Professional Facility Modifier Low / Median / High Price $568.60 / $681.71 / $1,094.85	Facility		$568.60	$681.71	$1,094.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $501.01 / $681.71 / $1,094.85	Professional		$501.01	$681.71	$1,094.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $382.37 / $600.90 / $868.12	Professional		$382.37	$600.90	$868.12
United Facility/Professional Professional Modifier Low / Median / High Price $433.17 / $701.15 / $1,071.10	Professional		$433.17	$701.15	$1,071.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $510.40 / $600.50 / $691.00	Professional		$510.40	$600.50	$691.00