Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.68 / $216.57 / $283.72	Professional		$137.68	$216.57	$283.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.49 / $413.63 / $517.03	Professional		$128.49	$413.63	$517.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $227.54 / $303.39 / $454.00	Professional		$227.54	$303.39	$454.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $216.57 / $285.85 / $522.00	Facility		$216.57	$285.85	$522.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $123.48 / $133.55 / $267.10	Professional		$123.48	$133.55	$267.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $266.61 / $294.45 / $522.00	Facility		$266.61	$294.45	$522.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $241.16 / $266.61 / $522.00	Professional		$241.16	$266.61	$522.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $267.69 / $364.07 / $649.86	Professional		$267.69	$364.07	$649.86
United Facility/Professional Professional Modifier Low / Median / High Price $111.29 / $133.55 / $178.86	Professional		$111.29	$133.55	$178.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $190.33 / $240.92 / $240.92	Professional		$190.33	$240.92	$240.92