Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $463.87 / $525.72 / $559.92	Professional		$463.87	$525.72	$559.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.08 / $757.88 / $947.34	Professional		$282.08	$757.88	$947.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $541.62 / $645.80 / $708.00	Professional		$541.62	$645.80	$708.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $512.09 / $653.64 / $1,267.10	Facility		$512.09	$653.64	$1,267.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $293.18 / $324.18 / $642.00	Professional		$293.18	$324.18	$642.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $642.00 / $714.78 / $1,267.10	Facility		$642.00	$714.78	$1,267.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $575.78 / $647.16 / $1,267.10	Professional		$575.78	$647.16	$1,267.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $649.79 / $666.71 / $1,190.08	Professional		$649.79	$666.71	$1,190.08
United Facility/Professional Professional Modifier Low / Median / High Price $244.32 / $324.18 / $415.06	Professional		$244.32	$324.18	$415.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $462.01 / $584.82 / $584.82	Professional		$462.01	$584.82	$584.82