Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $501.19 / $1,071.52	Professional		$354.81	$501.19	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,023.29 / $1,258.93	Professional		$812.83	$1,023.29	$1,258.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $691.83 / $1,202.26	Professional		$309.03	$691.83	$1,202.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $933.25 / $2,570.40	Professional		$512.86	$933.25	$2,570.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $933.25 / $1,230.27	Professional		$741.31	$933.25	$1,230.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,047.13 / $1,318.26	Professional		$707.95	$1,047.13	$1,318.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $1,023.29 / $1,230.27	Professional		$5.01	$1,023.29	$1,230.27
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $676.08 / $1,202.26	Professional		$407.38	$676.08	$1,202.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $758.58 / $933.25	Professional		$645.65	$758.58	$933.25