Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $858.19 / $1,130.94 / $1,558.90	Professional		$858.19	$1,130.94	$1,558.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,353.69 / $1,814.40 / $2,517.27	Professional		$1,353.69	$1,814.40	$2,517.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $565.55 / $1,120.67 / $1,838.05	Professional		$565.55	$1,120.67	$1,838.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $989.30 / $1,825.51 / $6,882.96	Professional		$989.30	$1,825.51	$6,882.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,215.02 / $1,660.45 / $2,502.62	Professional		$1,215.02	$1,660.45	$2,502.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,510.10 / $2,456.19	Professional		$5.00	$1,510.10	$2,456.19
United Facility/Professional Professional Modifier Low / Median / High Price $946.29 / $1,772.14 / $2,800.40	Professional		$946.29	$1,772.14	$2,800.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,193.70 / $1,404.30 / $1,882.20	Professional		$1,193.70	$1,404.30	$1,882.20