Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $3,090.30 / $5,888.44	Professional		$181.97	$3,090.30	$5,888.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $7,585.78 / $10,471.29	Professional		$457.09	$7,585.78	$10,471.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $6,918.31 / $13,182.57	Professional		$204.17	$6,918.31	$13,182.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $7,585.78 / $16,595.87	Professional		$549.54	$7,585.78	$16,595.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $7,585.78 / $10,471.29	Professional		$457.09	$7,585.78	$10,471.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $562.34 / $11,220.18	Professional		$398.11	$562.34	$11,220.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $9,120.11 / $10,964.78	Professional		$3.02	$9,120.11	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $3,467.37 / $9,772.37	Professional		$234.42	$3,467.37	$9,772.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $436.52 / $7,244.36	Professional		$371.54	$436.52	$7,244.36