Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.96 / $1,128.11 / $1,874.08	Professional		$164.96	$1,128.11	$1,874.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $377.86 / $2,659.85 / $3,324.81	Professional		$377.86	$2,659.85	$3,324.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $230.97 / $1,485.65 / $2,646.07	Professional		$230.97	$1,485.65	$2,646.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $475.59 / $2,891.18 / $5,187.92	Professional		$475.59	$2,891.18	$5,187.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $387.18 / $2,467.23 / $3,762.13	Professional		$387.18	$2,467.23	$3,762.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $182.17 / $1,070.95 / $2,138.19	Professional		$182.17	$1,070.95	$2,138.19
United Facility/Professional Professional Modifier Low / Median / High Price $1,521.44 / $2,822.40 / $4,379.10	Professional		$1,521.44	$2,822.40	$4,379.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $355.00 / $417.60 / $2,661.20	Professional		$355.00	$417.60	$2,661.20