Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $395.02 / $1,821.45 / $3,199.83	Professional		$395.02	$1,821.45	$3,199.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $638.87 / $1,982.12 / $5,539.73	Professional		$638.87	$1,982.12	$5,539.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $380.09 / $2,201.94 / $4,198.18	Professional		$380.09	$2,201.94	$4,198.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,880.46 / $4,587.89 / $8,569.36	Professional		$1,880.46	$4,587.89	$8,569.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $889.36 / $3,613.90 / $5,835.83	Professional		$889.36	$3,613.90	$5,835.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $2,494.69 / $6,549.70	Professional		$5.00	$2,494.69	$6,549.70
United Facility/Professional Professional Modifier Low / Median / High Price $2,217.94 / $3,810.67 / $6,563.73	Professional		$2,217.94	$3,810.67	$6,563.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $815.40 / $997.60 / $4,377.89	Professional		$815.40	$997.60	$4,377.89