Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $228.06 / $297.73 / $385.65	Professional		$228.06	$297.73	$385.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $378.23 / $564.47 / $993.10	Professional		$378.23	$564.47	$993.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.48 / $433.72 / $735.67	Professional		$345.48	$433.72	$735.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $304.08 / $454.68 / $899.42	Facility		$304.08	$454.68	$899.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $405.72 / $784.68 / $2,345.76	Professional		$405.72	$784.68	$2,345.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $508.42 / $616.67 / $993.10	Facility		$508.42	$616.67	$993.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $477.85 / $614.65 / $993.10	Professional		$477.85	$614.65	$993.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $362.56 / $541.00 / $786.13	Professional		$362.56	$541.00	$786.13
United Facility/Professional Professional Modifier Low / Median / High Price $388.08 / $592.60 / $959.62	Professional		$388.08	$592.60	$959.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $480.30 / $565.10 / $625.10	Professional		$480.30	$565.10	$625.10