Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $519.54 / $1,319.49 / $2,945.03	Professional		$519.54	$1,319.49	$2,945.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $786.76 / $2,967.23 / $5,025.54	Professional		$786.76	$2,967.23	$5,025.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $328.98 / $1,842.00 / $6,658.86	Professional		$328.98	$1,842.00	$6,658.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $945.18 / $3,969.35 / $21,581.96	Professional		$945.18	$3,969.35	$21,581.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $786.76 / $2,967.23 / $4,980.89	Professional		$786.76	$2,967.23	$4,980.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $3,994.10 / $4,731.80	Professional		$5.00	$3,994.10	$4,731.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,750.54 / $3,530.25 / $5,227.42	Professional		$1,750.54	$3,530.25	$5,227.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $693.70 / $816.20 / $3,078.10	Professional		$693.70	$816.20	$3,078.10